In literate individuals, the acceptability and feasibility of CDT and both alternate distractors were similarly high (5/6). Both MMC versions correlated with DSRS in healthy adults and patients (rho 0.6-0.7, ). Literacy was associated with CDT (chi-square strength 0.9, ). Data were collected from 63 participants (, 67% nonliterate).
Spearman’s rho, Mann-Whitney, and chi-square tests were used to evaluate group differences and associations between measures. Family members rated the acceptability and feasibility of the Mini-Cog versions using a 6-point scale and completed a proxy-rated cognitive staging tool, the Dementia Severity Rating Scale (DSRS).
#MINI COG TEST SERIAL#
We replaced the CDT with two tasks of everyday life: a serial subtraction task or a multistep performance task. Participants were adults (≥60 years) with no neurological diagnosis, with known cognitive impairment due to stroke, Parkinsonism, traumatic brain injury, or Alzheimer’s disease, and whose family members were able to read and write. We developed a modification of the Mini-Cog (MMC) for use with nonliterate and literate individuals. However, CDT requires at least basic literacy and cultural exposure to analog clocks, conditions not met in many population groups around the world. The Mini-Cog, a rapid, valid, and reliable screening tool for cognitive impairment, consists of 3-word recall and an executive clock drawing test (CDT). Moreover, significant net reclassification improvement was observed when CI defined by Mini-Cog, but not on CI defined by MMSE, was added to the MAGGIC score, and when Mini-Cog, instead of MMSE, was used as a CI assessment tool (0.41, p = 0.004).Objectives. The area under the curve of receiver operator characteristics curve was numerically greater for Mini-Cog than for MMSE (0.59 vs. In multivariate Cox regression analysis, CI defined by MMSE and Mini-cog were individually associated with worse prognosis in older heart failure patients even after adjustment for MAGGIC risk model and log B-type natriuretic peptide levels. During the follow-up period of median 346 days, 53 patients (15.1%) died. The agreement between MMSE and Mini-Cog was fairly low (Cohen’s kappa coefficient 0.37). According to MMSE and Mini-Cog, 167 (47.4%) and 159 (45.2%) patients had CI, respectively. The median age was 85 years old, 47.7% were male.
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