Not All Days Were Created Equal-Better Day Orientation Following the Weekend on Mini-Mental State Examination (MMSE).

IF 1.8 4区医学 Q3 CLINICAL NEUROLOGY

Alzheimer Disease & Associated Disorders Pub Date : 2024-04-01 Epub Date: 2024-05-16 DOI:10.1097/WAD.0000000000000624

Daphna Shefet, Ido Lurie

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引用次数: 0

Abstract

Objective: The aim of this study was to test whether patients are better oriented to the day on the first working day following the weekend (in Israel-Sunday), compared with other weekdays, on the Mini-Mental Score Examination (MMSE).

Methods: All MMSE scores from November 2016 until December 2022 in our mental health center's computerized system were collected. The proportion of correct answers to orientation to the day was compared between weekdays.

Results: The cohort consisted of 2049 MMSEs taken by 1376 patients [average age 80.3 (SD=9.3), 56.4% female]. The difference between the proportion of correct and incorrect answers was statistically significant between the days, of which Sundays showed a larger difference (53.4%) compared with the other days (χ 2 =20.77, P <0.001, Cramer V =0.104). A statistically significant odds ratio (OR) for providing a correct response was found for Sundays (OR=1.55, P =0.001) and, to a lesser extent, on Thursdays (OR=1.29, P =0.01). The difference between Sundays and other weekdays disappears as the total MMSE decreases.

Conclusion: Day orientation on the MMSE may be better on the first day following the weekend, especially in early cognitive decline.

Clinical implications: The weekday in which the MMSE is performed may influence its results.

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并非所有的日子都是平等的--周末后的日间定向对小型精神状态检查（MMSE）更有帮助。

研究目的本研究的目的是测试患者在周末后的第一个工作日（以色列为周日）的小型智力测验（MMSE）中，与其他工作日相比，是否能更好地适应一天的生活：方法：收集本院精神卫生中心计算机系统中 2016 年 11 月至 2022 年 12 月的所有 MMSE 分数。方法：收集我院精神卫生中心计算机系统中从 2016 年 11 月至 2022 年 12 月的所有 MMSE 分数，并比较不同工作日中关于当天方位的正确答案比例：1376名患者参加了2049次MMSE考试[平均年龄80.3岁（SD=9.3），女性占56.4%]。不同日期之间正确答案和错误答案比例的差异具有统计学意义，其中周日与其他日期相比差异更大（53.4%）（χ2=20.77，PC结论：MMSE 的日定向可能与患者的年龄有关：MMSE的日定向在周末后的第一天可能会更好，尤其是在早期认知功能衰退时：临床意义：在工作日进行 MMSE 可能会影响其结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Alzheimer Disease & Associated Disorders 医学-病理学

CiteScore

3.10

自引率

4.80%

发文量

期刊介绍： Alzheimer Disease & Associated Disorders is a peer-reviewed, multidisciplinary journal directed to an audience of clinicians and researchers, with primary emphasis on Alzheimer disease and associated disorders. The journal publishes original articles emphasizing research in humans including epidemiologic studies, clinical trials and experimental studies, studies of diagnosis and biomarkers, as well as research on the health of persons with dementia and their caregivers. The scientific portion of the journal is augmented by reviews of the current literature, concepts, conjectures, and hypotheses in dementia, brief reports, and letters to the editor.