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- Title
Prognostic role of Mini-Mental State Pediatric Examination (MMSPE) on neuropsychological functioning.
- Authors
Cainelli, Elisa; Di Giacomo, Deborah Lidia; Mantegazza, Giulia; Vedovelli, Luca; Favaro, Jacopo; Boniver, Clementina
- Abstract
<bold>Objective: </bold>The aim of this study was to evaluate the ability of the Mini-Mental State Pediatric Examinations (MMSPE) in the individuation of neuropsychological impairments.<bold>Method: </bold>MMSPE was administered to 60 children attending a primary or lower secondary school suffering from neurological diseases, admitted to our neuropsychology services. All children performed both a MMSPE examination and a neuropsychological evaluation. Results of neuropsychological evaluation and MMSPE were dichotomized. Positive predictive value (PPV), negative predictive value (NPV), and accuracy were also calculated.<bold>Results: </bold>The diagnostic performance of MMSPE showed a good overall accuracy (0.83, CI 95% 0.64-0.91), NPV (0.81, CI 95% 0.73-1.00), PPV (0.87, CI 95% 0.68-0.94), specificity (0.91, CI 95% 0.81-1.00), sensitivity (0.74, CI 95% 0.57-0.90), and odds ratio of 28.5 (CI 95% 6.6-123), p < 0.001.<bold>Conclusions: </bold>MMSPE has a good prognostic ability in predicting neuropsychological problems in the context of different neurological pediatric diseases. We suggest that this instrument could greatly improve pediatric clinical practice in identifying high-risk children.
- Subjects
MINI-Mental State Examination; NEUROPSYCHOLOGICAL tests; NEUROLOGICAL disorders; ODDS ratio; DIAGNOSIS of neurological disorders; PREDICTIVE tests; PROGNOSIS; QUESTIONNAIRES; DISEASE complications
- Publication
Neurological Sciences, 2020, Vol 41, Issue 3, p619
- ISSN
1590-1874
- Publication type
journal article
- DOI
10.1007/s10072-019-04141-6