Get JOHNS HOPKINS ADAPTED COGNITIVE EXAM TOTAL ACE SCORE

ACE III: This is a much more detailed test, scored out of 100. It has good diagnostic value. A score of less than 82 indicates likely dementia.

The ACE encompassed tests of five cognitive domains: attention/orientation, memory, language, verbal fluency, and visuospatial skills. It is scored out of 100, with a higher score denoting better cognitive function.

The ACE‐III had variable sensitivity across thresholds and patient populations (range for dementia at 82 and 88: 82% to 97%, n = 2; range for MCI at 88: 75% to 77%, n = 2), but with more variability in specificity (range for dementia: 4% to 77%, n = 2; range for MCI: 89% to 92%, n = 2).

A percentage score is converted into logit scores, which aids in the spreading of patients across different severity categories and enables clinical interpretation: very mild (>4.12), mild (4.11-1.92), moderate (1.91 to −0.40), severe (−0.39 to −2.58), very severe (−2.57 to −4.99) and profound (below −4.99).

The score needs to be interpreted in the context of the patient's overall history and examination, but a score of 88 and above is considered normal; below 83 is abnormal; and between 83 and 87 is inconclusive.

Research reports that ACE-III is one of the most sensitive screening tools for the detection of dementia, compared to other screening tests such as MMSE and MOCA. It has been reported that a cutoff point of 61 on the ACE-III is sensitive for distinguishing mild dementia from moderate dementia.

The thresholds describe the score at which a diagnosis of dementia should be considered and these are usually 82 or 88/100 for the ACE-III and 21 or 25/30 for the mini-ACE.

ACE III: This is a much more detailed test, scored out of 100. It has good diagnostic value. A score of less than 82 indicates likely dementia.