Sensitivity, Specificity and Cut-off Point of the Mini-Mental State Examination (MMSE) in Patients with Mild-Traumatic Brain Injury (mTBI)
Message:
Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background and Aim

The majority of the TBI patients are those with mild traumatic brain injury (mTBI). However, due to the absence of symptoms in brain imaging until long after the injury, the manifestations of cognitive impairments remain undiagnosed. Therefore, cognitive screening is considered a key measure in these patients. One of the common screening tools for evaluating cognitive impairments is the MMSE test. The present study aimed to determine the cut-off point, sensitivity, and specificity of the MMSE test in mTBI patients.

Methods and Materials/Patients:

In this observational and cross-sectional-analytical study, the statistical population was all patients with mTBI who were injured in the first half of 2022. The case group included 79 mTBI patients admitted to the trauma, neurosurgery, and ICU departments of Poursina Hospital in Rasht in the first half of 2022, who had been referred to the same hospital as well as the Velayat specialized clinic for rehabilitation and re-visit, and the control group included 79 normal healthy individuals. Both groups were cognitively evaluated by the MMSE test on two occasions with an average time interval of 2-3 weeks.

Results

The results of the Discriminant analysis showed a cut-off point of 27/28 as the probable point of cognitive impairment. Also, for identifying the cognitive impairment in mTBI patients, this test reported low sensitivity of 0.43-0.58 and a moderate specificity of 0.69-0.80 in two tests.

Conclusion

 In screening for possible mild cognitive impairment in mTBI patients, the MMSE is relatively useful and should not be used solely to replace a comprehensive neuropsychological evaluation with diagnostic purposes.

Language:
English
Published:
Iranian Journal of Neurosurgery, Volume:8 Issue: 1, Winter 2022
Page:
21
magiran.com/p2522051  
دانلود و مطالعه متن این مقاله با یکی از روشهای زیر امکان پذیر است:
اشتراک شخصی
با عضویت و پرداخت آنلاین حق اشتراک یک‌ساله به مبلغ 990,000ريال می‌توانید 70 عنوان مطلب دانلود کنید!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی نامحدود همه کاربران به متن مطالب تهیه نمایند!
توجه!
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.
دسترسی سراسری کاربران دانشگاه پیام نور!
اعضای هیئت علمی و دانشجویان دانشگاه پیام نور در سراسر کشور، در صورت ثبت نام با ایمیل دانشگاهی، تا پایان فروردین ماه 1403 به مقالات سایت دسترسی خواهند داشت!
In order to view content subscription is required

Personal subscription
Subscribe magiran.com for 50 € euros via PayPal and download 70 articles during a year.
Organization subscription
Please contact us to subscribe your university or library for unlimited access!