1. 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  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;
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: