Lower scores were not associated with future MVCs ( MMSE score 29-27 , hazard ratio ( HR ) = 1.06 , 95 % confidence interval ( CI ) = 0.93-1 .22 ) ; MMSE score 26-24 , HR = 0.96 , 95 % CI = 0.78-1 .19 ; MMSE score < 24 , HR = 0.72 , 95 % CI = 0.50-1 .05 ) on multivariable analysis .