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MiniCog

Indications: - assessment of dementia Procedure: - combines clock test with recall of 3 items - clock test serves as a distractor for recall of the 3 items. Time required: 3 minutes Interpretation: - one point for each corrected recalled item = 3 points - up to 2 points for clock test - maximum score = 5 - score - 3-5 is a negative screen for dementia Notes: - alternative to proprietary MMSE & MoCA - 0.91 sensitivity & 0.86 specificity for dementia [4]

General

mental status examination (MSE)

References

  1. Sloane PD Key Issues in the Primary Care of Alzheimer's disease In: Facilitating Diagnosis and Management of Alzheimer's Disease in the Primary Care Setting Internal Medicine World Report 20(11) suppl Nov, 2005
  2. 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 Oct;51(10):1451-4. PMID: 14511167
  3. Borson S, Scanlan JM, Watanabe J, Tu SP, Lessig M. Simplifying detection of cognitive impairment: comparison of the Mini-Cog and Mini-Mental State Examination in a multiethnic sample. J Am Geriatr Soc. 2005 PMID: 15877567
  4. Tsoi KK et al Cognitive Tests to Detect Dementia. A Systematic Review and Meta-analysis. JAMA Intern Med. Published online June 08, 2015. PMID: 26052687 http://archinte.jamanetwork.com/article.aspx?articleID=2301149
  5. Mini-Cog: A screening tool for early mental decline Bay Area Medical Information http://www.bami.us/Neuro/MiniCog.html
  6. http://geriatrics.uthscsa.edu/tools/MINICog.pdf