Medicare annual wellness visit algorithm for assessment of. The minimental state examination mmse has been widely used in the detection of dementia since its development. The saint louis university mental status slums exam possesses many potential psychometric advantages, however data on the relationship between scores on the slums and mmse has yet to be established. The saint louis university mental status slums examination is a. Comparing the cognitive screening tools mmse and slums.
Cognitive screening is typically conducted by an occupational therapist, occupational therapy assistant, or a speech language pathologist. Louis university mental status slums administration. The saint louis university mental status exam is an assessment tool for mild cognitive impairment and dementia and was developed in partnership with the geriatrics research, education and clinical center at the st. Screening tools common in practice include the saint louis university mental status slums exam 1, the minimental state examination mmse 2, and the montreal cognitive assessment moca 4. The usefulness of the slums test for diagnosis of mild. Slums examination for detecting mild cognitive impairment and dementia is more sensitive than the mini. Points total memory naming visuospatial executive attention language abstraction delayed recall orientation read list of words, subject must repeat them. Findings from our study indicate that the scores of slums are fairly consistent with mocab and cmmse in chinese elderly. May 14, 2017 similar to the mmse, the slums was created to assess individuals orientation, memory, and attention span, but it uses different tasks. Champion in your practice, neurologist, neuropsychologist family questionnaire slums 2730 hs education moca 2630 hs education kokmen stms 2938 mmsemmse2. Therefore, the purpose of this study was to establish comparative. Tariq et al, 2006 the results of this study suggest that the slums and mmse have comparable sensitivities, specificities, and area under the curve in detecting dementia. Learn about the saint louis university mental status exam used to assess mild.
This study evaluates the score disparity between the minimental state examination mmse and the st. Many practitioners have used mmse scores to recommend treatment options, but are unsure how slums scores compare to those wellknown cutoff scores. Two hundred seventyfour participants aged 60 years and older admitted to our geriatric clinic were screened for cognitive impairment using slums t and minimental state. Slums, moca, kokmen stms, mmse2 or mmse and family questionnaire option 1 do complete dementia workup see provider checklist option 2 refer to. Orientation registration attention and calculation recall language copying year month day date time country town district hospital ward examiner names 3 objects eg apple, table, penny patient asked to repeat 1 point for each correct. Slums test pdf fill and sign printable template online us. To investigate the concurrent validity of the saint louis university mental status examination slums by comparing the ability of the minimental. If the respondent puts only 4 ticks on the circle, prompt them once to put numbers next to those ticks 12, 3, 6, and 9 for full credit. Discrepancies of classifications for cognitive status by slums and the other 2 scales implies that further work is needed to explore optimal cutoffs of slums for screening mild c.
Assessment of dementia and caregiving for chinese american elders. The saint louis university mental status examination slums, mini mental state examination mmse, short test of mental state stms and test your memory tym were administered for comparison. However, it performs poorly in identifying persons with mild neurocognitive disorder. Pdf the usfulness of the slums test for diagnosis of. Download the slums alzheimers test in spanish elder guru. Score disparity between the mmse and the slums ann b. This video is a visn 15 geriatric research, education, and clinical center grecc project produced in cooperation with the employee education system. To investigate the concurrent validity of the saint louis university mental status examination slums by comparing the ability of the minimental state examination mmse and the slums to predict performance on standard neuropsychological measures of memory and executive functioning. It was designed as an alternative screening test to the widely used minimental state examination mmse.
Cordell cb, borson s, boustani m, chodosh j, reuben d, verghese j, et al. This supports the idea that the slums is a more difficult test and thus likely to be more sensitive to mild cognitive impairment. Pdf comparison of the saint louis university mental status. For the latest news and updates, check this page first. Feliciano l, horning sm, klebe kj, anderson sl, cornwell re, davis hp. Use the attached larger clock face of the slums exam as necessary to assist those with visual impairments.
Is there evidence of an acute change in mental status from the patients baseline. Apr 15, 20 slums appears to be more effective in detecting mci mild cognitive decline than the mmse mini mental status exam. Sep 01, 2012 the mini mental status examination mmse is the most frequently used screening tools for dementia. The mini mental status exam mmse was developed in 1975 and is probably the most widelyused. Mmse and slums scores correlated with each other r 0. The mmse has a, unlike the slums test and the exam that follows. Slums examination for detecting mild cognitive impairment and dementia is more sensitive than the minimental status examination mmse a pilot study. A person scoring less than 12 is considered at risk for social isolation. Slums examination for detecting mild cognitive impairment and dementia is more sensitive than the. The saint louis university mental status slums examination for detecting mild cognitive impairment and dementia is more sensitive than the minimental s tatus examination mmse a pilot study. Pdf comparison of the saint louis university mental. Minimental state examination mmse the mmse cognitive test, introduced in 1975, assesses orientation, word recall, attention, and visuospatial thinking. Score degree of impairment formal psychometric assessment daytoday functioning 2530 questionably significant if clinical signs of cognitive impairment are present, formal assessment of cognition may be valuable. Rates of reversion and conversion varied between the two tests.
Sh tariq, n tumosa, jt chibnall, hm perry iii, and je morley. The diagnostic accuracy of the slums test, assessed using the coefficient of correlation with other tests, showed it to have a very strong relationship with the stms r 0. Before administering the slums the training video should be viewed and then. However, the test performs poorly when identifying individuals with mild dementia.
Slums, mini mental state examination mmse, short test of mental state. Cognitive assessment toolkit alzheimers association. Score the questions as indicated on the examination. The saint louis university mental status slums examination for detecting mild cognitive impairment and dementia is more sensitive than the minimental status examination mmse a pilot study. The saint louis university mental status slums examination is a 30point screening questionnaire that tests for orientation, memory, attention, and executive.
It takes 510 minutes to complete, and must be performed by a professional. The saint louis university mental status slums examination for detecting mild cognitive impairment and dementia is more sensitive than the minimental status examination mmse a. Va saint louis university mental status slums examination. Slums examination for dementia the saint louis university mental status examination slums is a method of screening for alzheimers and other kinds of dementia. The saint louis university mental status slums examination for detecting mild cognitive.
Slums, the minimental status examination mmse, or the allen cognitive level screen acls are referenced by doctors when making important decisions regarding discharge location. The saint louis university mental status slums measurement. To investigate the concurrent validity of the saint louis university mental status examination slums by comparing the ability of the mini mental. The slums was conducted as a result of the patient failing the minicog. Although the slums and the mmse are strongly correlated, the slums significantly adds to the prediction of neuropsychological measures beyond the mmse scores. The aim of this study is to compare consistency of the slums with the chinese version of minimental status examination cmmse and the beijing version of montreal cognitive assessment mocab in. The veterans affairs saint louis university mental status exam slums exam and the minimental status exam as predictors of mortality and institutionalization. Pdf the usfulness of the slums test for diagnosis of mild. The mini mental state examination mmse has been widely used in the detection of dementia since its development. Saint louis university mental status exam rehabmeasures. Slums examination for dementia saint louis university. Compare and contrast types of dementia mini cog evaluation slums moca. The usefulness of the slums test for diagnosis of mild cognitive. Impairment and dementia is more sensitive than the minimental status.
The aim of the study was to establish the validity and reliability of the turkish version of slums slums t. Clinicians signature date time high school education less than high school education 2730 normal 2530. When scoring, give full credit for either all 12 numbers or all 12 ticks. Mini mental state examination oxford medical education.
If the respondent puts only 4 ticks on the circle, prompt them once to put numbers next to. Slums examination for detecting mild cognilivc impairmenl and dementia is more sensitive than the minimental status examination mmse a pilot study. The purpose of the conversion scale is to take old mmse scores and convert them to slums scores without having to assess the patient again. Research also found that although both the slums and the mmse have a total of 30 points, the average score of the slums is approximately five points lower than that of the mmse. The saint louis university mental status slums examination is a popular screening scale for cognitive impairment in north america but has not been studied in chinese populations. Some providers repeat patient assessment with an alternate tool e. Research reveals that it has a 90 percent accuracy rate compared to the mmses 60 to 70 percent accuracy rate.
Mmse underestimates cognitive capacities of most minority elderly persons compared with whites so a high rate of false positives occurs in these groups. Sep 26, 2019 the slums exam is not the only screening tool for alzheimers, of course. The saint louis university mental status examination is. Louis university mental status slums during a medical visit. Utility of the slums as a cognitive screening tool among a. Slums test pdf fill and sign printable template online. Slums, mini mental state examination mmse, short test of mental state stms and test your memory tym were administered for comparison. Feb 07, 2020 pdf vamc slums examination saint louis university posted on feb2020 slums examination for detecting mild cognitive impairment and dementia is more sensitive than the minimental status examination mmse a pilot study. Our findings suggest that the slums may be an appropriate measure to use as a screening tool among older adults and may have fewer ceiling effects than the mmse. Pdf utility of the slums as a cognitive screening tool among a. Statistical manual of mental disorders, 4th edition criteria.
126 553 1443 1302 802 1051 640 1176 647 711 585 834 981 1403 1047 1469 1291 704 489 329 250 1116 1331 643 1181 645