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자료유형
학술저널
저자정보
저널정보
대한가정의학회 Korean Journal of Family Medicine Korean Journal of Family Medicine 제37권 제3호
발행연도
2016.1
수록면
177 - 181 (5page)

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Background: The Korean-Mini-Mental Status Examination (K-MMSE) is a dementia-screening test that can beeasily applied in both community and clinical settings. However, in 20% to 30% of cases, the K-MMSE produces afalse negative response. This suggests that it is necessary to evaluate the accuracy of K-MMSE as a screening test fordementia, which can be achieved through comparison of K-MMSE and Seoul Neuropsychological Screening Battery(SNSB)-II results. Methods: The study included 713 subjects (male 534, female 179; mean age, 69.3±6.9 years). All subjects were assessedusing K-MMSE and SNSB-II tests, the results of which were divided into normal and abnormal in 15 percentilestandards. Results: The sensitivity of the K-MMSE was 48.7%, with a specificity of 89.9%. The incidence of false positive andnegative results totaled 10.1% and 51.2%, respectively. In addition, the positive predictive value of the K-MMSE was87.1%, while the negative predictive value was 55.6%. The false-negative group showed cognitive impairments inregions of memory and executive function. Subsequently, in the false-positive group, subjects demonstrated reducedperformance in memory recall, time orientation, attention, and calculation of K-MMSE items. Conclusion: The results obtained in the study suggest that cognitive function might still be impaired even if an individualobtained a normal score on the K-MMSE. If the K-MMSE is combined with tests of memory or executivefunction, the accuracy of dementia diagnosis could be greatly improved.

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