Validity of Screening Instruments for the Detection of Dementia and Mild Cognitive Impairment in Hospital Inpatients: A Systematic Review of Diagnostic Accuracy Studies
PLoS One
Hwang, A. B., Boes, S., et al. (2019).
PLoS One, 14(7), e0219569.
This systematic review examines the diagnostic accuracy of cognitive screening instruments for individuals with dementia and mild cognitive impairment (MCI).
No funding received
Not stated
Cross-sectional studies
6 studies; 5 assessment instruments
Six studies examined five assessment instruments (the Clock Drawing Test, the Cognitive Performance Scale, the Mini-Mental Status Examination, the Time and Change Test, and Six-Item Cognitive Impairment Test). Varying degrees of sensitivity and specificity were reported across studies (sensitivity = 44-88%; specificity = 56-96%). Given the small number of studies and poor methodological quality, no instruments were found to be optimal for the diagnosis of dementia or MCI in inpatient settings. Further research is warranted.
