The Validity, Reliability and Clinical Utility of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in Patients with Cerebral Small Vessel Disease

被引：240

作者：

Wong, Adrian ^{[1
]}

Xiong, Yun Y. ^{[1
]}

Kwan, Pauline W. L. ^{[1
]}

Chan, Anne Y. Y. ^{[1
]}

Lam, Wynnie W. M. ^{[2
]}

Wang, Ki ^{[2
]}

Chu, Winnie C. W. ^{[2
]}

Nyenhuis, David L. ^{[3
]}

Nasreddine, Ziad ^{[4
]}

Wong, Lawrence K. S. ^{[1
]}

Mok, Vincent C. T. ^{[1
]}

机构：

[1] Chinese Univ Hong Kong, Dept Med & Therapeut, Hong Kong, Hong Kong, Peoples R China

[2] Chinese Univ Hong Kong, Dept Diagnost Radiol & Organ Imaging, Hong Kong, Hong Kong, Peoples R China

[3] Univ Illinois, Dept Neurol & Rehabil Med, Ctr Stroke Res, Chicago, IL USA

[4] Hop Charles LeMoyne, Neurol Serv, Clin Res Ctr, Quebec City, PQ, Canada

来源：

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS | 2009年 / 28卷 / 01期

关键词：

Neuropsychology; Psychometrics; Screening; Cognitive disorder; Vascular cognitive impairment; Stroke; DEMENTIA RATING-SCALE; MINI-MENTAL-STATE; PARKINSONS-DISEASE; SCREENING TOOL; IMPAIRMENT; PROGRESSION; FLUENCY; DECLINE; CHINESE; MEMORY;

D O I：

10.1159/000232589

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Background/Aims: To evaluate the psychometric properties of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in patients with cerebral small vessel disease (SVD). Methods: 40 SVD patients and 40 matched controls were recruited. Concurrent and criterion validity, inter-rater and test-retest reliability, internal consistency of the HK-MoCA were examined and clinical observations were made. Results: Performance on the HK-MoCA was significantly predicted by both executive (beta = 0.23, p = 0.013) and non-executive (beta = 0.64, p < 0.001) composite scores. It differentiated SVD patients from controls (area under the curve = 0.81, p < 0.001) with an optimal cutoff at 21/22. Reliability, internal consistency and clinical utility were good. Conclusion: The HK-MoCA is a useful cognitive screening instrument for use in SVD patients. Copyright (c) 2009 S. Karger AG, Basel

引用

页码：81 / 87

页数：7

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