title: Clustering mild cognitive impairment by mini-mental state examination.
abstract: We aimed to evaluate whether the performance of the mini-mental state examination (MMSE) could identify risky mild cognitive impairment (MCI). We recruited 122 amnestic MCI-single domain (ASM), 303 amnestic MCI-multiple domains (AMM), and 94 non-amnestic MCI (NAM). Two-step cluster and linear discriminant analyses were used for identifying the clusters of the MMSE with age and education, as well as establishing prediction models for each cluster. Conversion into dementia was compared among clusters. Cluster analyses revealed the following three: cluster 1 = 205 AMM (100 %); cluster 2 = 61 NAM (33.3 %) and 122 ASM (66.7 %); and cluster 3 = 33 NAM (25.2 %) and 98 AMM (74.8 %). Cluster 3 showed a significantly lower ability with regards to orientation to time and place, registration of three words, attention/calculation, language, and copying interlocking pentagons, than clusters 1 and 2. However, for delayed recall, cluster 1 was significantly more impaired than cluster 2. Patients in the cluster 1 showed the most common conversion into dementia [odds ratio (OR) = 2.940 vs. cluster 2, OR = 2.271 vs. cluster 3]. This study showed that clustering by performance in MMSE could help define groups at higher risk for conversion to dementia. Therefore, MMSE can be considered as a promising screening tool including subtyping for MCI when detailed neuropsychological tests are not feasible.
authors.affiliation: Department of Neurology, School of Medicine, Ajou University, 5 San, Woncheon-dong, Yongtong-gu, Suwon-si, Kyunggi-do, 442-749, Republic of Korea.
authors.forename: So Young
authors.initials: SY
authors.lastname: Kim
authors.forename: Tae Sung
authors.initials: TS
authors.lastname: Lim
authors.forename: Hyun Young
authors.initials: HY
authors.lastname: Lee
authors.forename: So Young
authors.initials: SY
authors.lastname: Moon
mesh_terms: D000367:Age Factors; D000368:Aged; D016000:Cluster Analysis; D060825:Cognitive Dysfunction / Q000145:classification* / Q000175:diagnosis*; D003704:Dementia / Q000175:diagnosis / Q000209:etiology; D016002:Discriminant Analysis; D018450:Disease Progression; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008609:Mental Status Schedule; D008875:Middle Aged; D056910:Republic of Korea; D012189:Retrospective Studies