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Published in: Neurological Sciences 3/2020

01-03-2020 | Epilepsy | Original Article

Prognostic role of Mini-Mental State Pediatric Examination (MMSPE) on neuropsychological functioning

Authors: Elisa Cainelli, Deborah Lidia Di Giacomo, Giulia Mantegazza, Luca Vedovelli, Jacopo Favaro, Clementina Boniver

Published in: Neurological Sciences | Issue 3/2020

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Abstract

Objective

The aim of this study was to evaluate the ability of the Mini-Mental State Pediatric Examinations (MMSPE) in the individuation of neuropsychological impairments.

Method

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.

Results

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.

Conclusions

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.
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Metadata
Title
Prognostic role of Mini-Mental State Pediatric Examination (MMSPE) on neuropsychological functioning
Authors
Elisa Cainelli
Deborah Lidia Di Giacomo
Giulia Mantegazza
Luca Vedovelli
Jacopo Favaro
Clementina Boniver
Publication date
01-03-2020
Publisher
Springer International Publishing
Keyword
Epilepsy
Published in
Neurological Sciences / Issue 3/2020
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-019-04141-6

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