A Pilot Study of the Mini-Cog Czech version in Czech Adults
Authors:
Bezdíček Ondřej 1,2,3*; Havlík Filip 1,2*; Bezdíčková Ludmila 4; Oberfalzerová Kateřina 2; Růžička Evžen 1
Authors‘ workplace:
Neurologická klinika a Centrum klinických neurověd 1. LF UK a VFN Praha
1; Pražská vysoká škola psychosociálních studií, Praha
2; Katedra psychologie, Filozofická fakulta UK, Praha
3; Katedra všeobecného praktického lékařství IPVZ, Praha
4
Published in:
Geriatrie a Gerontologie 2022, 11, č. 4: 165-170
Category:
Original Article
Overview
Objective: We performed a pilot study of the Mini-Cog Czech version to obtain statistical information for empirically derived diagnostic decision-making in patients with possible neurodegenerative diseases.
Introduction: Between 2022 and 2050, the prevalence of dementia in the Czech Republic as a neurobehavioral correlate of neurodegeneration will dramatically increase as based on epidemiological data. According to Czech Society of General Practice in Czech Medical Association of J. E. Purkyně (SVL ČLS JEP) guidelines, The Mini-Cog, a rapid screening test for dementia, is the recommended cognitive scale for general practitioners in primary clinical care for screening patients of higher age.
Methods: Healthy participants who fulfilled the inclusion criteria (N = 46), mean age 59,7 (SD = 8,9), underwent a brief cognitive screening with the Mini-Cog and the Mini-Mental State Examination (MMSE) in counterbalanced order.
Results: Mean Mini-Cog performance (range 0–5) was 4,3 ± 1,0 points and in the MMSE (range 0–30) was 29,4 ± 0,9 points. After transformation of the Mini-Cog raw score to percentiles, a raw score of 2/5 is equal to the 2nd percentile (significantly below average). Based on the equi-percentile transformation a raw score of 2/5 in the Mini-Cog is equal to 26 or 27 points in the MMSE, which is a traditional cut-off for mild cognitive impairment. Mini-Cog raw scores from 3 to 5 are within average.
Conclusion: The data from the current study enable general practitioners to make empirically derived diagnostic decision-making in patients with possible neurodegenerative diseases in primary clinical care.
Keywords:
Epidemiology – MMSE – Mini-Cog – brief dementia screens
Sources
1. Mátl O, Mátlová M. Zpráva o stavu demence. Česká alzheimerovská společnost 2015.
2. Matějovská Kubešová H, Býma S. Demence. Doporučené diagnostické a terapeutické postupy pro všeobecné praktické lékaře. Praha: Společnost všeobecného lékařství ČLS JEP 2018.
3. Schrag A, Jahanshahi M, Quinn N. What contributes to quality of life in patients with Parkinson‘s disease? J Neurol Neurosurg Psychiatry 2000; 69(3): 308–312.
4. Aarsland D, Larsen JP, Karlsen K, et al. Mental symptoms in Parkinson‘s disease are important contributors to caregiver distress. Int J Geriatr Psychiatry 1999; 14(10): 866–874.
5. Aarsland D, Brønnick K, Ehrt U, et al. Neuropsychiatric symptoms in patients with Parkinson‘s disease and dementia: frequency, profile and associated care giver stress. J Neurol Neurosurg Psychiatry 2007; 78(1): 36–42.
6. Vossius C, Larsen JP, Janvin C, Aarsland D. The economic impact of cognitive impairment in Parkinson‘ s disease. Mov Disord 2011; 26(8): 1541–1544.
7. Xu J, Zhang Y, Qiu C, Cheng F. Global and regional economic costs of dementia: a systematic review. The Lancet 2017; 390: S47.
8. Max W. The economic impact of Alzheimer‘s disease. Neurology 1993; 43(8, Suppl 4), S6–S10.
9. Souêtre E, Thwaites RM, Yeardley HL. Economic impact of Alzheimer‘ s disease in the United Kingdom. Cost of care and disease severity for non-institutionalised patients with Alzheimer‘s disease. Br J Psychiatry 1999; 174: 51–55.
10. Dauphinot V, Potashman M, Levitchi- Benea M, et al. Economic and caregiver impact of Alzheimer’s disease across the disease spectrum: a cohort study. Alzheimer‘s Research & Therapy 2022; 14(1): 34.
11. Borson S, Scanlan J, Brush M, et al. The mini-cog: a cognitive ‚vital signs‘ measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry 2000; 15(11): 1021–1027.
12. Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: validation in a population-based sample. J Am Geriatr Soc 2003; 51(10): 1451–1454.
13. Folstein MF, Folstein SE, Fanjiang G. Mini-Mental State Examination. Lutz, FL: Psychological Assessment Resources 2001.
14. Folstein MF, Folstein SE, McHugh PR. „Mini-mental state“. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12(3): 189–198.
15. Battersby WS, Bender MB, Pollack M, Kahn RL. Unilateral spatial agnosia (inattention) in patients with cerebral lesions. Brain 1956; 79(1): 68–93.
16. Stepankova H, Nikolai T, Lukavsky J, et al. Mini-Mental State Examination – česká normativní studie. Česká a Slovenská neurologie a neurochirurgie 2015; 78/111(1): 57–63.
17. American Psychological A. Ethical principles of psychologists and code of conduct. Washington DC 2017.
18. Albano AD. Equate: An R Package for Observed-Score Linking and Equating. Journal of Statistical Software 2016; 74(8).
19. Scanlan J, Borson S. The Mini-Cog: receiver operating characteristics with expert and naïve raters. Int J Geriatr Psychiatry 2001; 16(2): 216–222.
20. Stepankova H, Nikolai T, Lukavský J, et al. Mini-Mental State Examination – Czech Normative Study. Ceska a Slovenska Neurologie a Neurochirurgie 2015; 78(1): 57–63.
21. Freedman M, Leach L, Kaplan E, et al. Clock Drawing: A Neuropsychological Analysis. New York: Oxford University Press 1994.
22. Streiner DL. Starting at the Beginning: An Introduction to Coefficient Alpha and Internal Consistency. Journal of Personality Assessment 2003; 80(1): 99–103.
23. Jack CR, Jr., Bennett DA, Blennow K, et al. NIA-AA Research Framework: Toward a biological definition of Alzheimer‘s disease. Alzheimers Dement 2018; 14(4): 535–562.
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Geriatrics and Gerontology
2022 Issue 4
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