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Research Article

Clinical utility of the Saint Louis University Mental Status Examination (SLUMS) in a mixed neurological sample: Proposed revised cutoff scores for normal cognition, mild cognitive impairment, and dementia

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References

  • Abdelrahman, H. M. M., & El Gaafary, M. M. (2014). Validation of Arabic Version of Saint-Louis-University-Mental-Status (SLUMS) – Examination and prevalence of cognitive impairment in community dwelling egyptian older adults. Middle East Journal of Age and Ageing, 11(4), 11–19. https://doi.org/10.5742/MEAA.2014.92575
  • Alzheimer’s Association. (2018). 2018 Alzheimer's disease facts and figures. Alzheimer's & Dementia, 14(3), 367–429. https://doi.org/10.1016/j.jalz.2018.02.001
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
  • Anthony, J. C., LeResche, L., Niaz, U., von Korff, M. R., & Folstein, M. F. (1982). Limits of the 'Mini-Mental State' as a screening test for dementia and delirium among hospital patients. Psychological Medicine, 12(2), 397–408. https://doi.org/10.1017/s0033291700046730
  • Bernstein, A., Rogers, K. M., Possin, K. L., Steele, N. Z. R., Ritchie, C. S., Kramer, J. H., Geschwind, M., Higgins, J. J., Wohlgemuth, J., Pesano, R., Miller, B. L., & Rankin, K. P. (2019). Dementia assessment and management in primary care settings: A survey of current provider practices in the United States. BMC Health Services Research, 19(1), 919. https://doi.org/10.1186/s12913-019-4603-2
  • Boustani, M., Callahan, C. M., Unverzagt, F. W., Austrom, M. G., Perkins, A. J., Fultz, B. A., Hui, S. L., & Hendrie, H. C. (2005). Implementing a screening and diagnosis program for dementia in primary care. Journal of General Internal Medicine, 20(7), 572–577. https://doi.org/10.1111/j.1525-1497.2005.0126.x
  • Bowen, J., Teri, L., Kukull, W., McCormick, W., McCurry, S. M., & Larson, E. B. (1997). Progression to dementia in patients with isolated memory loss. The Lancet, 349(9054), 763–765. https://doi.org/10.1016/S0140-6736(96)08256-6
  • Cruz-Oliver, D. M., Malmstrom, T. K., Roegner, M., Tumosa, N., & Grossberg, G. T. (2014). Cognitive deficit reversal as shown by changes in the Veterans Affairs Saint Louis University Mental Status (SLUMS) examination scores 7.5 years later. J Am Med Dir Assoc, 15(9), 687 e685–610. https://doi.org/10.1016/j.jamda.2014.05.004
  • Cummings-Vaughn, L. A., Chavakula, N. N., Malmstrom, T. K., Tumosa, N., Morley, J. E., & Cruz-Oliver, D. M. (2014). 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, 62(7), 1341–1346. https://doi.org/10.1111/jgs.12874
  • Daly, E., Zaitchik, D., Copeland, M., Schmahmann, J., Gunther, J., & Albert, M. (2000). Predicting conversion to Alzheimer disease using standardized clinical information. Archives of Neurology, 57(5), 675–680. https://doi.org/10.1001/archneur.57.5.675
  • Delis, D. C., Kaplan, E., & Kramer, J. (2001). Delis-Kaplan Executive Function System. Psychological Corporation.
  • DeLong, E. R., DeLong, D. M., & Clarke-Pearson, D. L. (1988). Comparing the areas under two or more correlated receiver operating characteristic curves: A nonparametric approach. Biometrics, 44(3), 837–845. https://doi.org/10.2307/2531595
  • Devanand, D. P., Liu, X., Tabert, M. H., Pradhaban, G., Cuasay, K., Bell, K., de Leon, M. J., Doty, R. L., Stern, Y., & Pelton, G. H. (2008). Combining early markers strongly predicts conversion from mild cognitive impairment to Alzheimer's disease. Biological Psychiatry, 64(10), 871–879. https://doi.org/10.1016/j.biopsych.2008.06.020
  • Feliciano, L., Horning, S. M., Klebe, K. J., Anderson, S. L., Cornwell, R. E., & Davis, H. P. (2013). Utility of the SLUMS as a cognitive screening tool among a nonveteran sample of older adults. The American Journal of Geriatric Psychiatry, 21(7), 623–630. https://doi.org/10.1016/j.jagp.2013.01.024
  • Galvin, J. E. (2015). The Quick Dementia Rating System (QDRS): A rapid dementia staging tool. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring, 1(3), 249–259. https://doi.org/10.1016/j.dadm.2015.03.003
  • Hanley, J. A., & McNeil, B. J. (1983). A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology, 148(3), 839–843. https://doi.org/10.1148/radiology.148.3.6878708
  • Howard, R. (2020). Subjective cognitive decline: What is it good for? The Lancet Neurology, 19(3), 203–204. https://doi.org/10.1016/S1474-4422(20)30002-8
  • Jessen, F., Amariglio, R. E., Buckley, R. F., van der Flier, W. M., Han, Y., Molinuevo, J. L., Rabin, L., Rentz, D. M., Rodriguez-Gomez, O., Saykin, A. J., Sikkes, S. A. M., Smart, C. M., Wolfsgruber, S., & Wagner, M. (2020). The characterisation of subjective cognitive decline. The Lancet Neurology, 19(3), 271–278. https://doi.org/10.1016/S1474-4422(19)30368-0
  • Kaya, D., Isik, A. T., Usarel, C., Soysal, P., Ellidokuz, H., & Grossberg, G. T. (2016). 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, 17(4), 370.e311–370.e315. https://doi.org/10.1016/j.jamda.2015.12.093
  • Kumar, R., & Indrayan, A. (2011). Receiver operating characteristic (ROC) curve for medical researchers. Indian Pediatrics, 48(4), 277–287. https://doi.org/10.1007/s13312-011-0055-4
  • Kurlowicz, L., & Wallace, M. (1999). The Mini-Mental State Examination (MMSE). Journal of Gerontological Nursing, 25(5), 8–9. https://doi.org/10.3928/0098-9134-19990501-08
  • Lin, P. J., Zhong, Y., Fillit, H. M., Chen, E., & Neumann, P. J. (2016). Medicare expenditures of individuals with Alzheimer's disease and related dementias or mild cognitive impairment before and after diagnosis. Journal of the American Geriatrics Society, 64(8), 1549–1557. https://doi.org/10.1111/jgs.14227
  • Mansoor, D., & Erten-Lyons, D. (2021). I Have to pay to use the Montreal Cognitive Assessment: What should I do? Journal of the Academy of Consultation-Liaison Psychiatry, 62(2), 253–255. https://doi.org/10.1016/j.psym.2020.11.001
  • Metz, C. E. (1978). Basic principles of ROC analysis. Seminars in Nuclear Medicine, 8(4), 283–298. https://doi.org/10.1016/S0001-2998(78)80014-2
  • MoCATest. (2022). MoCA Cognitive Assessment. https://www.mocatest.org/
  • Morley, J. E., Morris, J. C., Berg-Weger, M., Borson, S., Carpenter, B. D., Del Campo, N., Dubois, B., Fargo, K., Fitten, L. J., Flaherty, J. H., Ganguli, M., Grossberg, G. T., Malmstrom, T. K., Petersen, R. D., Rodriguez, C., Saykin, A. J., Scheltens, P., Tangalos, E. G., Verghese, J., … Vellas, B. (2015). Brain health: The importance of recognizing cognitive impairment: An IAGG consensus conference. Journal of the American Medical Directors Association, 16(9), 731–739. https://doi.org/10.1016/j.jamda.2015.06.017
  • Nasreddine, Z. S., Phillips, N. A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., Cummings, J. L., & Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695–699. https://doi.org/10.1111/j.1532-5415.2005.53221.x
  • O'Connor, D. W., Pollitt, P. A., Hyde, J. B., Brook, C. P., Reiss, B. B., & Roth, M. (1988). Do general practitioners miss dementia in elderly patients? BMJ (Clinical Research ed.), 297(6656), 1107–1110. https://doi.org/10.1136/bmj.297.6656.1107
  • PARInc. (2022). MMSE-2. https://www.parinc.com/products/pkey/238
  • Rabin, L. A., Borgos, M. J., Saykin, A. J., Wishart, H. A., Crane, P. K., Nutter-Upham, K. E., & Flashman, L. A. (2007). Judgment in older adults: Development and psychometric evaluation of the Test of Practical Judgment (TOP-J). Journal of Clinical and Experimental Neuropsychology, 29(7), 752–767. https://doi.org/10.1080/13825580601025908
  • Randolph, C., Tierney, M. C., Mohr, E., & Chase, T. N. (1998). The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS): Preliminary clinical validity. Journal of Clinical and Experimental Neuropsychology, 20(3), 310–319. https://doi.org/10.1076/jcen.20.3.310.823
  • Saint Louis University School of Medicine. (2006). VAMC SLUMS Examination. https://www.slu.edu/medicine/internal-medicine/geriatric-medicine/aging-successfully/pdfs/slums_form.pdf
  • Shwartz, S. K., Morris, R. D., & Penna, S. (2019). Psychometric properties of the Saint Louis University Mental Status Examination. Applied Neuropsychology. Adult, 26(2), 101–110. https://doi.org/10.1080/23279095.2017.1362407
  • Spencer, R. J., Noyes, E. T., Bair, J. L., & Ransom, M. T. (2022). Systematic review of the psychometric properties of the Saint Louis University Mental Status (SLUMS) Examination. Clinical Gerontologist, 45(3), 454–466. https://doi.org/10.1080/07317115.2022.2032523
  • Stern, R. A., & White, T. (2003). Neuropsychological Assessment Battery (NAB) administration, scoring, and interpretation manual. Psychological Assessment Resources.
  • Stewart, S., O'Riley, A., Edelstein, B., & Gould, C. (2012). A preliminary comparison of three cognitive screening instruments in long term care: The MMSE, SLUMS, and MoCA. Clinical Gerontologist, 35(1), 57–75. https://doi.org/10.1080/07317115.2011.626515
  • Studart, A. N., & Nitrini, R. (2016). Subjective cognitive decline: The first clinical manifestation of Alzheimer's disease? Dementia & Neuropsychologia, 10(3), 170–177. https://doi.org/10.1590/S1980-5764-2016DN1003002
  • Tariq, S. H., Tumosa, N., Chibnall, J. T., Perry, M. H., 3rd., & Morley, J. E. (2006). Comparison of the Saint Louis University Mental Status Examination and the Mini-Mental State Examination for detecting dementia and mild neurocognitive disorder–A pilot study. The American Journal of Geriatric Psychiatry, 14(11), 900–910. https://doi.org/10.1097/01.JGP.0000221510.33817.86
  • Thyrian, J. R., Eichler, T., Pooch, A., Albuerne, K., Dreier, A., Michalowsky, B., Wucherer, D., & Hoffmann, W. (2016). Systematic, early identification of dementia and dementia care management are highly appreciated by general physicians in primary care – Results within a cluster-randomized-controlled trial (DelpHi). Journal of Multidisciplinary Healthcare, 9, 183–190. https://doi.org/10.2147/JMDH.S96055
  • Tombaugh, T. N., & McIntyre, N. J. (1992). The mini-mental state examination: A comprehensive review. Journal of the American Geriatrics Society, 40(9), 922–935. https://doi.org/10.1111/j.1532-5415.1992.tb01992.x
  • Valcour, V. G., Masaki, K. H., Curb, J. D., & Blanchette, P. L. (2000). The detection of dementia in the primary care setting. Archives of Internal Medicine, 160(19), 2964–2968. https://doi.org/10.1001/archinte.160.19.2964
  • Wechsler, D. (2008). Wechsler Adult Intelligence Scale — Fourth Edition. Pearson Assessment.
  • Wimo, A., Winblad, B., Aguero-Torres, H., & von Strauss, E. (2003). The magnitude of dementia occurrence in the world. Alzheimer Disease and Associated Disorders, 17(2), 63–67. https://doi.org/10.1097/00002093-200304000-00002
  • Wu, Y., Wang, Y., Zhang, Y., Yuan, X., & Gao, X. (2021). A preliminary study of the Saint Louis University Mental Status Examination (SLUMS) for the assessment of cognition in moderate to severe traumatic brain injury patients. Applied Neuropsychology: Adult. https://doi.org/10.1080/23279095.2021.1952414
  • Yang, M., Ding, X., & Dong, B. (2014). The measurement of disability in the elderly: A systematic review of self-reported questionnaires. Journal of the American Medical Directors Association, 15(2), 150.e151–150.e159. https://doi.org/10.1016/j.jamda.2013.10.004
  • Yang, Y. P., Huang, Y. C., Chen, C. S., Yang, Y. C., & Wang, J. J. (2021). Sensitivity and specificity of the Saint Louis University Mental Status Examination to detect mild cognitive impairment and dementia in Chinese population. Gerontology, 67(2), 152–159. https://doi.org/10.1159/000511904
  • Zhang, S., Wu, Y. H., Zhang, Y., Zhang, Y., & Cheng, Y. (2021). Preliminary study of the validity and reliability of the Chinese version of the Saint Louis University Mental Status Examination (SLUMS) in detecting cognitive impairment in patients with traumatic brain injury. Applied Neuropsychology. Adult, 28(6), 633–640. https://doi.org/10.1080/23279095.2019.1680986

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