Saint Louis University Mental Status

Aka: Saint Louis University Mental Status, SLUMS

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II. Indications

  1. Cognitive Function Assessment
  2. Documentation of subsequent cognitive function decline

III. Advantages: Compared with MMSE

  1. Seven minute test (11 items, 30 points), evaluates for Dementia as well as verbal fluency and abstraction
  2. Free for clinical use
    1. In contrast, MMSE was initially taught as a free, gold standard exam in medical school
    2. Later required a fee for clinical use
  3. Identifies mild cognitive disorders
    1. In contrast, MMSE is often normal in mild cognitive disorders, especially with college education

IV. Criteria: 11 Questions for a total of 30 points

  1. Orientation: 3 (day of the week, year, U.S. state)
    1. Assign 1 point for each correct (3 points total)
  2. Memory: Remember 5 objects (Apple, Pen, Tie, House, Car)
    1. Assign 5 points on correct recall
  3. Calculation: Start with $100 and spend $3, then $20; how much is spent and how much remains
    1. Assign 2 points for $77
  4. Name as many animals as possible in 5 minutes
    1. Assign 3 points for 15 or more, 2 points for 10 or more, 1 point for 5 or more
  5. Reverse number sequences (87, 649, 8537)
    1. Assign 1 point for 946 and 1 point for 7358
  6. Given a clock face, write the hour markers 1-12 and place the hands on the clock at 10 minutes to eleven
    1. Assign 1 point for correct markers and 1 point for correct time
  7. From 3 shapes (square, triangle, rectangle), choose the triangle and choose the largest
    1. Assign 1 point for each of the 2 tasks
  8. A brief story is read and patient answers four questions about it
    1. Assign 2 points for each of the 4 questions

V. Interpretation: High School Education

  1. Normal: 27-30
  2. Mild Neurocognitive Disorder (MNCD): 21-26
  3. Dementia: <21

VI. Interpretation: Less than High School Education

  1. Normal: 25-30
  2. Mild Neurocognitive Disorder (MNCD): 20-24
  3. Dementia: <20

VII. Efficacy

  1. Dementia Diagnosis (score <=19)
    1. Test Sensitivity: 93%
    2. Test Specificity: 96%
  2. Mild Cognitive Impairment (score <=26)
    1. Test Sensitivity: 64%
    2. Test Specificity: 65%
  3. References
    1. Abd Razak (2019) Public Health 169:84-92 [PubMed]

VIII. Resources

  1. Saint Louis University Mental Status (SLUMS) PDF
    1. https://www.slu.edu/medicine/internal-medicine/geriatric-medicine/aging-successfully/pdfs/slums_form.pdf

IX. References

  1. Tariq (2006) Am J Geriatr Psychiatry 14(11): 900-10. [PubMed]

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