Optimal Cutoff Scores for Dementia and Mild Cognitive Impairment in the Brazilian Version of the Montreal Cognitive Assessment among the Elderly

被引:18
作者
Pinto, Tiago C. C. [1 ,2 ]
Santos, Marilia S. P. [1 ]
Machado, Leonardo [1 ]
Bulgacov, Tatiana M. [1 ]
Rodrigues-Junior, Antonio L. [1 ,3 ]
Silva, Gabriela A. [1 ]
Costa, Maria Lucia G. [1 ,4 ]
Ximenes, Rosana C. C. [1 ]
Sougey, Everton B. [1 ]
机构
[1] Univ Fed Pernambuco UFPE, Postgrad Program Neuropsychiat & Behav Sci, Av Prof Moraes Rego 1235 Cidade Univ, BR-50670901 Recife, PE, Brazil
[2] Univ Fed Vale Sao Francisco UNIVASF, Univ Hosp Doctor Washington Antonio de Barros, Petrolina, Brazil
[3] Busca Vida Clin Gerontol, Recife, PE, Brazil
[4] Univ Fed Pernambuco, Postgrad Program Gerontol, Recife, PE, Brazil
关键词
Mild cognitive impairment; Alzheimer's disease; Dementia; Screening for cognitive impairment; Elderly; Montreal Cognitive Assessment; MENTAL-STATE-EXAMINATION; BRIEF SCREENING TOOL; ASSESSMENT MOCA; NORMATIVE DATA; ALZHEIMERS-DISEASE; CHINESE VERSION; OLDER-ADULTS; VALIDATION; EDUCATION; PERFORMANCE;
D O I
10.1159/000495562
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To propose cutoff scores for the Brazilian version of the Montreal Cognitive Assessment (MoCA-BR) stratified by education in order to detect mild cognitive impairment (MCI) and mild Alzheimer's disease (AD) in the elderly. Method: A transversal study in health centers was performed on 159 elderly people with 4-12 years of education and 70 of their peers with over 12 years of schooling. The MoCA-BR cutoff scores for screening cognitive impairment were determined based on an ROC curve analysis. Results: The ROC curve analysis indicated that cutoff scores under 20 were good for screening elderly people with cognitive impairment with more than 12 years of education, and scores under 21 were good for screening those with 4-12 years of education. Conclusions: MoCA-BR scores under 21 points (after adding 1 point to the elderly with <= 12 years of education) indicate a need to continue the diagnostic investigation with regular follow-ups. (C) 2019 The Author(s) Published by S. Karger AG, Basel
引用
收藏
页码:44 / 52
页数:9
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