Joe Verghese|Mohan Leslie Noone|Beena Johnson|Anne Felicia Ambrose|Cuiling Wang|Herman Buschke|Vayyattu G. Pradeep|KA Salam|K S Shaji|PS Mathuranath
Picture?Based Memory Impairment Screen for Dementia
Albert Einstein College of Medicine|Baby Memorial Hospital|Baby Memorial Hospital|Mount Sinai Hospital|Albert Einstein College of Medicine|Albert Einstein College of Medicine|Baby Memorial Hospital|Baby Memorial Hospital|Government Medical College|Sree Chitra Thirunal Institute for Medical Sciences and Technology|Institute of Medical Sciences
objectives develop validate picturebased memory impairment screen pmis detection dementia design crosssectional setting outpatient clinics b aby emorial h ospital k ozhikode city southern ndian state k erala participants three hundred four communityresiding adults aged 55 94 mean education level 8 years 65 diagnosed dementia measurements pmis culturefair picturebased cognitive screen designed administered nonspecialists diagnostic accuracy estimates sensitivity specificity positive negative predictive power pmis cutscores detecting dementia range 08 results pmis scores worse participants dementia 15 controls 77 p lt 001 optimal cutscore 5 pmis sensitivity 954 95 confidence interval ci 9031000 specificity 992 95 ci 9801000 detecting dementia 167 participants lt10 years education pmis scores five less sensitivity 978 95 ci 9361000 specificity 992 95 ci 9761000 pmis better specificity ini ental tate e xamination detecting dementia especially older adults low education conclusion pmis brief reliable screen dementia elderly populations variable literacy rates