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Veterans Affairs Saint Louis University Mental Status Examination Compared with the Montreal Cognitive Assessment and the Short Test of Mental Status
Author(s) -
CummingsVaughn Lenise A.,
Chavakula Neeraja N.,
Malmstrom Theodore K.,
Tumosa Nina,
Morley John E.,
CruzOliver Dulce M.
Publication year - 2014
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.12874
Subject(s) - montreal cognitive assessment , dementia , medicine , veterans affairs , receiver operating characteristic , mental status examination , clinical dementia rating , psychiatry , gerontology , cognition , disease
Objectives To compare the ability of the Veterans Affairs Saint Louis University Mental Status ( SLUMS ) examination to detect mild cognitive impairment ( MCI ) and dementia according to the Clinical Dementia Rating Scale ( CDR ) with that of two other well‐known screening instruments, the Montreal Cognitive Assessment (Mo CA ) and the Short Test of Mental Status ( STMS ). Design Cross‐sectional validation study. Setting Saint Louis Veterans Affairs Medical Center Geriatric Research Education and Clinical Center. Participants Veterans aged 60 and older (median 78.5) with a high school education or more (n = 136). Measurements Participants were administered the SLUMS examination, the Mo CA , and the STMS in random order. A blinded test administrator administered the CDR in a separate session. Receiver operating characteristic ( ROC ) curves were used to assess the sensitivity, specificity, positive predictive value ( PPV ), and negative predictive value ( NPV ) of the SLUMS examination, the Mo CA , and the STMS for MCI , dementia, and MCI or dementia. ROC contrasts were used to statistically compare the area under the ROC curve ( AUC ) for the screening tests' ability to detect cognitive dysfunction according to the CDR . Results ROC contrasts demonstrated that the AUC s for detecting MCI ( SLUMS examination 0.74, Mo CA 0.77, STMS 0.77), dementia ( SLUMS examination 0.98, Mo CA 0.96, STMS 0.97), and MCI or dementia ( SLUMS examination 0.82, Mo CA 0.83, STMS 0.84) were equivalent. Sensitivity, specificity, PPV , and NPV were similar across measures of MCI , dementia, and MCI or dementia according to the CDR . Conclusion The SLUMS examination has validity similar to that of the Mo CA and STMS for the detection of MCI , dementia, and MCI or dementia according to the CDR .