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George T Grossberg - One of the best experts on this subject based on the ideXlab platform.
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the saint louis university Mental Status Examination is better than the mini Mental state Examination to determine the cognitive impairment in turkish elderly people
Journal of the American Medical Directors Association, 2016Co-Authors: Derya Kaya, Ahmet Turan Isik, Cansu Usarel, Pinar Soysal, Hulya Ellidokuz, George T GrossbergAbstract:Abstract Introduction Presence of detailed screening instruments to detect cognitive impairment in the older adults' culture and language is very essential. The Saint Louis University Mental Status Examination (SLUMS) is one of cognitive screening scales used. The aim of the study was to establish the validity and reliability of the Turkish version of SLUMS (SLUMS-T). Methods Two hundred seventy-four participants aged 60 years and older admitted to our geriatric clinic were screened for cognitive impairment using SLUMS-T and Mini-Mental State Examination. Internal consistency was analyzed with Cronbach α test. Area under curves of receiver operating characteristic analyses were used to test the predictive accuracy of the SLUMS-T for detecting amnestic mild cognitive impairment (aMCI) and Alzheimer disease (AD) to set an appropriate cut-off point. Results The SLUMS-T scores were positively correlated with the Mini-Mental State Examination scores of the patients with aMCI and patients with AD and controls (r = 0.687, P P Conclusions SLUMS-T was demonstrated to have sufficient validity and reliability to evaluate cognitive impairment including MCI among Turkish elderly people.
Takuji Yamamoto - One of the best experts on this subject based on the ideXlab platform.
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potential risks and limited indications of the supraorbital keyhole approach for clipping internal carotid artery aneurysms
World Neurosurgery: X, 2019Co-Authors: Terushige Toyooka, Kojiro Wada, Naoki Otani, Arata Tomiyama, Satoru Takeuchi, Satoshi Tomura, Sho Nishida, Hideaki Ueno, Yasuaki Nakao, Takuji YamamotoAbstract:Background Internal carotid artery (ICA) aneurysm may be a good target for supraorbital keyhole clipping. We discuss the surgical indications and risks of keyhole clipping for ICA aneurysms based on long-term clinical and radiologic results. Methods This was a retrospective analysis of 51 patients (aged 35-75 years, mean 62 years) with ICA aneurysms (mean 5.8 ± 1.8 mm) who underwent clipping via the supraorbital keyhole approach between 2005 and 2017. Neurologic and cognitive functions were examined by several methods, including the modified Rankin Scale and Mini-Mental Status Examination. The state of clipping was assessed 1 year and then every few years after the operation. Results Complete clipping was confirmed in 45 patients (88.2%), dog-ear remnants behind the clip persisted in 4 patients, and wrapping was performed in 2 patients. Mean duration of postoperative hospitalization was 3.4 ± 6.9 days. The mean clinical follow-up period was 6.6 ± 3.2 years. The overall mortality was 0, and overall morbidity (modified Rankin Scale score ≥2 or Mini-Mental Status Examination <24) was 3.9%. Completely clipped aneurysms did not show any recurrence during the mean follow-up period of 6.3 ± 3.1 years, but the 2 (3.9%) aneurysms with neck remnants showed regrowth. Conclusions The risk of neck remnant behind the clip blade is a drawback of supraorbital keyhole clipping. The surgical indication requires preoperative simulation and careful checking of the clip blade state is essential.
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Potential Risks and Limited Indications of the Supraorbital Keyhole Approach for Clipping Internal Carotid Artery Aneurysms
Elsevier, 2019Co-Authors: Terushige Toyooka, Kojiro Wada, Naoki Otani, Arata Tomiyama, Satoru Takeuchi, Satoshi Tomura, Sho Nishida, Hideaki Ueno, Yasuaki Nakao, Takuji YamamotoAbstract:Background: Internal carotid artery (ICA) aneurysm may be a good target for supraorbital keyhole clipping. We discuss the surgical indications and risks of keyhole clipping for ICA aneurysms based on long-term clinical and radiologic results. Methods: This was a retrospective analysis of 51 patients (aged 35–75 years, mean 62 years) with ICA aneurysms (mean 5.8 ± 1.8 mm) who underwent clipping via the supraorbital keyhole approach between 2005 and 2017. Neurologic and cognitive functions were examined by several methods, including the modified Rankin Scale and Mini-Mental Status Examination. The state of clipping was assessed 1 year and then every few years after the operation. Results: Complete clipping was confirmed in 45 patients (88.2%), dog-ear remnants behind the clip persisted in 4 patients, and wrapping was performed in 2 patients. Mean duration of postoperative hospitalization was 3.4 ± 6.9 days. The mean clinical follow-up period was 6.6 ± 3.2 years. The overall mortality was 0, and overall morbidity (modified Rankin Scale score ≥2 or Mini-Mental Status Examination
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long term neurological and radiological results of consecutive 63 unruptured anterior communicating artery aneurysms clipped via lateral supraorbital keyhole minicraniotomy
Operative Neurosurgery, 2018Co-Authors: Kentaro Mori, Terushige Toyooka, Kojiro Wada, Naoki Otani, Arata Tomiyama, Satoru Takeuchi, Satoshi Tomura, Yasuaki Nakao, Takuji Yamamoto, Hajime AraiAbstract:BACKGROUND Treatments for unruptured anterior communicating artery (AcomA) aneurysm have relatively high morbidity. OBJECTIVE To assess the lateral supraorbital keyhole approach for safe and complete clipping of unruptured AcomA aneurysm and evaluate the long-term clinical and radiological outcomes, including cognitive and depressive Status. METHODS A total of 63 patients (aged 41-79 yr, mean 64 yr) with relatively small AcomA aneurysms clipped via the lateral supraorbital approach were retrospectively analyzed among the 105 AcomA aneurysms treated by clipping from 2005 to 2014. Neurological and cognitive functions were examined by several scales, including the modified Rankin Scale (mRS) and Mini-Mental Status Examination. The depressive state was assessed using the Beck Depression Inventory and Hamilton Depression Scale. The state of clipping was assessed 1 yr and then every few years after the operation by 3-dimensional computed tomography angiography. RESULTS Complete neck clipping was confirmed in 62 aneurysms (98.4%). Perioperative complications occurred in 5 patients (5/63; mild frontalis muscle weakness in 3, anosmia in 1, and meningitis in 1). The mean clinical follow-up period was 5.2 ± 2.1 yr. No patient showed an mRS score more than 2 and all were completely independent in daily life. The depression scores were significantly improved after surgery. The overall mortality was 0% and overall morbidity (mRS score > 2 or Mini-Mental Status Examination score < 24) was 1.6%. All completely clipped aneurysms did not show any recurrence during the mean follow-up period of 4.9 ± 2.1 yr. CONCLUSION Lateral supraorbital keyhole approach to clip relatively small unruptured AcomA aneurysm promises less invasive and durable treatment.
Lenise A Cummingsvaughn - One of the best experts on this subject based on the ideXlab platform.
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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
Journal of the American Geriatrics Society, 2014Co-Authors: Lenise A Cummingsvaughn, Neeraja N Chavakula, Theodore K Malmstrom, Nina Tumosa, John E Morley, Dulce M CruzoliverAbstract: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 (MoCA) 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 MoCA, 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 MoCA, 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 AUCs for detecting MCI (SLUMS Examination 0.74, MoCA 0.77, STMS 0.77), dementia (SLUMS Examination 0.98, MoCA 0.96, STMS 0.97), and MCI or dementia (SLUMS Examination 0.82, MoCA 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 MoCA and STMS for the detection of MCI, dementia, and MCI or dementia according to the CDR.
Birong Dong - One of the best experts on this subject based on the ideXlab platform.
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comparison of the saint louis university Mental Status Examination the mini Mental state Examination and the montreal cognitive assessment in detection of cognitive impairment in chinese elderly from the geriatric department
Journal of the American Medical Directors Association, 2012Co-Authors: Li Cao, Shan Hai, Xiufang Lin, Defeng Shu, Si Wang, Jirong Yue, Guanjian Liu, Birong DongAbstract:Abstract Introduction 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. The aim of this study is to compare consistency of the SLUMS with the Chinese version of Mini-Mental Status Examination (CMMSE) and the Beijing version of Montreal Cognitive Assessment (MoCA-B) in Chinese elderly. Methods Two hundred seventy-eight Chinese elderly with chronic diseases and geriatric syndromes from the geriatrics department were screened for cognitive impairment, including dementia and mild cognitive impairment, using SLUMS, CMMSE, and MoCA-B. The modified education level cutoff in the diagnostic criteria of SLUMS (mSLUMS) was explored. Scores of the scales and classifications for cognitive Status by them were compared using Spearman and κ statistics, respectively. Results Spearman correlation coefficient between scores of the scales were 0.747 (SLUMS vs CMMSE, P P P P P P = .089) and 0.148 (mSLUMS vs CMMSE plus MoCA-B in parallel, P = .031). For all cognitive impairment, κ values were 0.562 (SLUMS vs MoCA-B, P P Conclusion Findings from our study indicate that the scores of SLUMS are fairly consistent with MoCA-B and CMMSE in Chinese elderly. 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 cognitive impairment and dementia in elderly Chinese.
Jing Jy Wang - One of the best experts on this subject based on the ideXlab platform.
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sensitivity and specificity of the saint louis university Mental Status Examination to detect mild cognitive impairment and dementia in chinese population
Gerontology, 2021Co-Authors: Ya Ping Yang, Ying Che Huang, Cheng Sheng Chen, Yi Ching Yang, Jing Jy WangAbstract:INTRODUCTION The Saint Louis University Mental Status (SLUMS) Examination is a common screening instrument to detect mild cognitive impairment (MCI) in Western countries. However, further work is needed to identify optimal SLUMS cutoff scores for screening MCI and dementia in Chinese populations. OBJECTIVE The aim of this study was to evaluate the utility and diagnostic accuracy of the SLUMS Examination in the diagnosis of dementia and MCI in Chinese population. METHODS A cross-sectional multicenter design was conducted. Patients were recruited from the outpatient department of our neurology and psychiatric clinics. The establishment of the gold standard for the SLUMS-Chinese version (SLUMS-C) to detect MCI and dementia was based on the clinical criteria of the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) and related neuropsychological testing conducted by 3 certified dementia specialists. The consistency of the diagnosis process and administering SLUMS-C were established prior to the beginning of the study. Data were analyzed, and sensitivity, specificity, and areas under the curve (AUCs) were calculated. RESULTS A total of 367 subjects were recruited. The SLUMS-C did not show satisfactory AUCs for the preliminary detection of normal cognitive Status and MCI by different educational levels (all AUC 0.32-0.54). However, the SLUMS-C showed acceptable AUCs for the preliminary detection of dementia by different educational levels (all AUC 0.78-0.81). An educational level of senior high school showed the best cutoff, sensitivity, and specificity. The SLUMS-C scores to detect dementia for individuals with at least high school education and less than high school education were <24 and 22, respectively. CONCLUSIONS Our results indicate that the SLUMS-C could be a beneficial and convenient screening instrument to detect dementia in Chinese population. After community screening, a comprehensive clinical evaluation including cognitive assessment, functional Status, corroborative history, and imaging confirmation is needed.