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Applying ACE-III, M-ACE and MMSE to Diagnostic Screening Assessment of Cognitive Functions within the Polish Population

Author

Listed:
  • Beata Kaczmarek

    (Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland)

  • Zofia Ilkowska

    (Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland)

  • Sylwia Kropinska

    (Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland)

  • Sławomir Tobis

    (Department of Occupational Therapy, Poznan University of Medical Sciences, 60-781 Poznan, Poland)

  • Roma Krzyminska-Siemaszko

    (Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland)

  • Aleksandra Kaluzniak-Szymanowska

    (Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland)

  • Katarzyna Wieczorowska-Tobis

    (Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland)

Abstract

The research aims to compare the accuracy of the mini-mental state examination (MMSE), the Addenbrooke’s cognitive examination III (ACE-III) and the mini-Addenbrooke’s cognitive examination (M-ACE) within the Polish population. The model comprised several stages: the features of each test were compared; the shifts in result categorisations between the norm and below the norm were analysed; a third category—mild cognitive impairment (MCI)—was included. Additionally, particular ACE-III domains that scored below domain-specific norm thresholds were analysed to establish the potential early predictors of dementia. All tests correlated to a high and very high degree—cf. MMSE and ACE-III ( r = 0.817; p < 0.001), MMSE and M-ACE ( r = 0.753; p < 0.001), ACE-III and M-ACE ( r = 0.942; p < 0.001). The area under the ROC curve for the ACE-III diagnostic variable had a high value (AUC = 0.920 ± 0.014). A cut-off point of 81 points was suggested for ACE-III; the M-ACE diagnostic variable had an equally high value (AUC = 0.891 ± 0.017). A cut-off point of 20 points was suggested. A significant decrease in the mean score values for people who scored norm or below the norm under ACE-III, as compared to the MMSE results for norm ( p < 0.0001), occurred for speech fluency (which decreased by 26.4%). The tests in question are characterised by high sensitivity and specificity. Targeted ACE-III seems best recommended for use in specialised diagnostic centres, whereas M-ACE appears to be a better suited diagnostic alternative for primary health care centres in comparison to MMSE.

Suggested Citation

  • Beata Kaczmarek & Zofia Ilkowska & Sylwia Kropinska & Sławomir Tobis & Roma Krzyminska-Siemaszko & Aleksandra Kaluzniak-Szymanowska & Katarzyna Wieczorowska-Tobis, 2022. "Applying ACE-III, M-ACE and MMSE to Diagnostic Screening Assessment of Cognitive Functions within the Polish Population," IJERPH, MDPI, vol. 19(19), pages 1-19, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12257-:d:927014
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    Cited by:

    1. Michał Kowalczyk & Anna Panasiuk-Kowalczyk & Adam Stadnik & Małgorzata Guz & Marek Cybulski & Witold Jeleniewicz & Andrzej Stepulak & Magdalena Kwiatosz-Muc, 2022. "Dexmedetomidine Increases MMP-12 and MBP Concentrations after Coronary Artery Bypass Graft Surgery with Extracorporeal Circulation Anaesthesia without Impacting Cognitive Function: A Randomised Contro," IJERPH, MDPI, vol. 19(24), pages 1-14, December.

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