Comparison of Hindi version of MMSE with its English version: A hospital based study Ashok Kumar Patel, Arun Kumar Yadav, Snigdha Sinha, Ashima Nehra, Deepti Vibha, Kameshwar Prasad Department of Neurology, All India Institute of Medical Sciences, New Delhi, India Table: Demographical correlates and HMSE, MMSE score INTRODUCTION S.No Characteristic Total N=20 Parameter 1 Age 43.4 ( 14.7) 2 Female 17 ( 80.95) 3 Education Up to XII class Graduation Post graduation 5 ( 23.81) 9 (42.86) 7 ( 33.33) 4 Total MMSE score 27.4 ( 1.5) 5 Total HMSE score 28.2 (2.1) Hindi version of Mini Mental Status Examination (MMSE) was developed in 1995 by Ganguli et al for a largely illiterate rural elderly population in India1. Since then it has been used in community based studies for identification of dementia in India. MMSE scale has been extensively used in the hospital setting with some modification even though the patient may be illiterate2. There is no study which has compared the MMSE and HMSE in the hospital settings. DISCUSSION This is the first comparative study of Hindi version Mini Mental Status Examination with English Version Mini Mental Status Examination. There was no significant difference in average of these two. Perfect agreement (kappa =1) was seen for orientation to time and naming and excellent agreement (kappa >0.85) was observed for registration, attention and calculation, comprehension, reading, writing, drawing while substantial agreement kappa >0.6 was seen in recall and repetition. Out come of this study suggests that Hindi version mini mental status examination can be use in hospital setting to eliminate the language and literacy problem. Limitation of the study: Sample size Tertiary care centre - likely to receive more serious case Single-centric study Heterogenous group of patients Therefore, larger comparative studies are needed to check the agreement of total scare of Hindi version Mini mental Status Examination with English Version Mini Mental Status Examination in various Hospital settings. OBJECTIVE To compare the Hindi version of mini mental status examination with the English version of MMSE in stable inpatients in tertiary care hospital in North India.   MATERIALS  The study conducted in the Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi The study was conducted among clinically stable ward patients. Only those patient who can speak both English and Hindi were enrolled. The study was conducted between Feb 2015 to May 2015. The participant were randomly administered either Hindi version or English version first followed by other version after 48 hours by the trained clinical psychologist. The same clinical psychologist administered both the English and Hindi version of MMSE  STATISTICAL ANALYSIS  Descriptive statistics: Mean and Standard Deviation were calculated for continuous variables, Frequency measures were used for categorical variables Kappa value was calculated to see the agreements between subscale of the two scales P value <0.05 was taken as significant Data was analyzed using the STATA, version 13.0 (StataCorp. 2013. Stata Statistical Software: Release 13. College Station, TX: StataCorp LP) CONCLUSION We found no statistical significant difference in scoring of Hindi version or English version of mini mental status examination COMPETING INTEREST The author declare that they have no competing interests RESULTS FUNDING SOURCE A total of 20 patients were enrolled in the study. 80% of them were male patient and rest 20% were female patient. The average total score for English and Hindi version of MMSE were 27.4 (1.5) and 28.2 (2.1) respectively. There was no statistical significant difference between the average total score between two methods (p value=0.2). Perfect agreement (kappa =1) was seen for orientation to time and naming and excellent agreement (kappa >0.85) was observed for registration, attention and calculation, comprehension, reading, writing, drawing while substantial agreement kappa >0.6 was seen in recall and repetition. Lowest agreement (kappa =0.2) was seen for orientation to place. NO fund received for this study ACKNOWLEDGEMENT We acknowledge the technical assistance of staff members of the Neurology Department of All India Institute of Medical Sciences, New Delhi. We also thank all participants for their participation in the present study. REFERENCES Ganguly M, Ratclife G, Chandra V, et al (1995) “A Hindi Version of the MMSE: The Development of a cognitive screening instrument for a largely Illiterate rural elderly Indian population” International Journal of Geriatric Psychiatry vol.10; 367-377. Folstein MF, Folstein SE, McHugh PR. (1975)"Mini-mental state": a practical method for grading the cognitive state of patients for the clinician. J Psychiatry Res.12:189-198.