When mild impairment is not safe: mini-mental state examination scores of ≤21 are associated with emergency response failure.
Introduction: Unrecognized emergency-response deficits contribute to preventable harm and loss of independence in older adults with cognitive decline. Although the Mini-Mental State Examination (MMSE) is widely used to assess global cognition, clinicians often use MMSE scores to inform judgments abo...
| Publicado en: | Frontiers in Aging Neuroscience pp. 1 - 9 |
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| Autores principales: | , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Frontiers Media S.A.
2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196388326&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196388326 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16634365 BG2U jtl: Frontiers in Aging Neuroscience issn: 16634365 maglogo: N pubinfo: dt: 2026 pid: 40038 pub: Frontiers Media S.A. artinfo: ui: 196388326 196388326 196388326 10.3389/fnagi.2026.1916712 196388326 ppf: 1 ppct: 8 formats: tig: atl: When mild impairment is not safe: mini-mental state examination scores of ≤21 are associated with emergency response failure. aug: au: Kim, Howard Parker, Caitlyn Severance, Jennifer Jurado Wiechmann, April affil: UNT Health Fort Worth Texas College of Osteopathic Medicine, Fort Worth, TX, United States sug: subj: Mild Cognitive Impairment Risk Factors Executive Function Psychological Tests Emergency Service Predictive Value of Tests Risk Assessment Human Male Female Middle Age Aged Aged, 80 and Over Texas Academic Medical Centers Retrospective Design Record Review Cross Sectional Studies Comparative Studies Descriptive Statistics Data Analysis Software Questionnaires Pearson's Correlation Coefficient Fisher's Exact Test ROC Curve Logistic Regression Age Factors Sex Factors Race Factors Memory, Short Term Problem Solving Attention Motor Skills Psychomotor Performance Task Performance and Analysis Neuropsychological Tests Diagnosis, Psychosocial Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Introduction: Unrecognized emergency-response deficits contribute to preventable harm and loss of independence in older adults with cognitive decline. Although the Mini-Mental State Examination (MMSE) is widely used to assess global cognition, clinicians often use MMSE scores to inform judgments about everyday functioning. However, the relationship between MMSE performance and emergency-response ability remains unclear. The Test of Executive Functioning in an Emergency (TEFE) is a brief, performance-based assessment that evaluates a patient's ability to relay critical information and contact emergency services. This study examined whether an MMSE threshold was associated with failure on TEFE 911 tasks. Methods: A retrospective analysis included 905 patients from a university-affiliated memory clinic with Alzheimer's disease, vascular dementia, mixed dementia, mild cognitive impairment, or normal cognition. Associations between MMSE scores and TEFE 911 knowledge and behavioral task failure were examined using correlation, adjacent-score comparisons, receiver operating characteristic (ROC) analyses, Youden's J , and multivariable logistic regression adjusted for demographic and diagnostic covariates. Results: MMSE and TEFE scores were moderately correlated (r = 0.596, p < 0.0001). Failure rates were higher at MMSE scores of 21 than 22. ROC analyses demonstrated good discrimination for 911 task failure (AUC = 0.860–0.867). An MMSE cutoff of ≤21 yielded 61.9% sensitivity and 88.9% specificity for failure on 911 tasks and remained independently associated with failure after adjustment (adjusted OR = 3.71, 95% CI: 1.82–7.56). Discussion: Patients with MMSE scores ≤21 may warrant further performance-based assessment of emergency-response ability. Prospective studies should determine whether this threshold predicts real-world safety outcomes. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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