Background: The use of cognitive assessment tools originally designed for affluent nations in low- and middle-income countries (LMIC) has faced criticism due to potential cultural, educational, and literacy biases. Such adaptations may lead to misclassification and an inflated perception of dementia prevalence. There is a pressing need for further research to create cognitive assessment instruments and dementia diagnosis methods which are suitable as well as practical for clinical application in low- and middle-income countries environments. Aim: This study aimed to assess the efficiency of the Arabic version of the Saint Louis University Mental Status (SLUMS) examination in a sample of illiterate and low-educated Egyptians in comparison to the Clinical Dementia Rating (CDR) for the detection of cognitive impairment. Subjects and Methods: We conducted a cross-sectional study that included ninety elderly participants, aged 60 years and above, who attended the Geriatric outpatients’ clinic at Ahmed Shawki-Geriatric Medicine Hospital, Ain Shams University Hospitals, Cairo, Egypt. The elderly participants had either normal cognition, mild cognitive impairment or mild dementia, defined as a CDR score of 0-1. Our participants were classified as illiterates, 1-6 years of education, and 7-9 years of education for further analysis. All participants had a comprehensive geriatrics assessment and cognitive assessment with the Arabic version of the CDR and the Arabic version of the SLUMS. Results: The study showed that the Arabic version of SLUMS had a high sensitivity of 95.4%, but with a low specificity of 38.3% for detection of mild cognitive impairment in illiterate and low-educated Egyptian elderly. Conclusion: SLUMS is a valid yet not the best tool to screen for cognitive impairment and dementia in the illiterate and low-educated Egyptian elderly. .
Sayed Hanafi, D., Taha Alloush, A., Ahmed Alsadany, M., & Moustafa Mousa, S. (2023). Performance of illiterate and low-educated Egyptian elderly in SLUMS (Saint Louis University Mental Status) Examination.. The Egyptian Journal of Geriatrics and Gerontology, 10(2), 175-184. doi: 10.21608/ejgg.2023.350128
MLA
Doaa Sayed Hanafi; Adel Taha Alloush; Mohamed Ahmed Alsadany; Shereen Moustafa Mousa. "Performance of illiterate and low-educated Egyptian elderly in SLUMS (Saint Louis University Mental Status) Examination.". The Egyptian Journal of Geriatrics and Gerontology, 10, 2, 2023, 175-184. doi: 10.21608/ejgg.2023.350128
HARVARD
Sayed Hanafi, D., Taha Alloush, A., Ahmed Alsadany, M., Moustafa Mousa, S. (2023). 'Performance of illiterate and low-educated Egyptian elderly in SLUMS (Saint Louis University Mental Status) Examination.', The Egyptian Journal of Geriatrics and Gerontology, 10(2), pp. 175-184. doi: 10.21608/ejgg.2023.350128
VANCOUVER
Sayed Hanafi, D., Taha Alloush, A., Ahmed Alsadany, M., Moustafa Mousa, S. Performance of illiterate and low-educated Egyptian elderly in SLUMS (Saint Louis University Mental Status) Examination.. The Egyptian Journal of Geriatrics and Gerontology, 2023; 10(2): 175-184. doi: 10.21608/ejgg.2023.350128
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