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

Autor:	Pinto TCC; Postgraduate Program in Neuropsychiatry and Behavioral Science at the Universidade Federal de Pernambuco (UFPE), Recife, Brazil.; University Hospital Doctor Washington Antônio de Barros of Universidade Federal do Vale do São Francisco (UNIVASF), Petrolina, Brazil., Santos MSP; Postgraduate Program in Neuropsychiatry and Behavioral Science at the Universidade Federal de Pernambuco (UFPE), Recife, Brazil., Machado L; Postgraduate Program in Neuropsychiatry and Behavioral Science at the Universidade Federal de Pernambuco (UFPE), Recife, Brazil., Bulgacov TM; Postgraduate Program in Neuropsychiatry and Behavioral Science at the Universidade Federal de Pernambuco (UFPE), Recife, Brazil., Rodrigues-Junior AL; Postgraduate Program in Neuropsychiatry and Behavioral Science at the Universidade Federal de Pernambuco (UFPE), Recife, Brazil.; Busca Vida Clinical Gerontology, Recife, Brazil., Silva GA; Postgraduate Program in Neuropsychiatry and Behavioral Science at the Universidade Federal de Pernambuco (UFPE), Recife, Brazil., Costa MLG; Postgraduate Program in Neuropsychiatry and Behavioral Science at the Universidade Federal de Pernambuco (UFPE), Recife, Brazil.; Post-graduate program in Gerontology at the Federal University of Pernambuco, Recife, Brazil., Ximenes RCC; Postgraduate Program in Neuropsychiatry and Behavioral Science at the Universidade Federal de Pernambuco (UFPE), Recife, Brazil., Sougey EB; Postgraduate Program in Neuropsychiatry and Behavioral Science at the Universidade Federal de Pernambuco (UFPE), Recife, Brazil.
Jazyk:	angličtina
Zdroj:	Dementia and geriatric cognitive disorders extra [Dement Geriatr Cogn Dis Extra] 2019 Feb 07; Vol. 9 (1), pp. 44-52. Date of Electronic Publication: 2019 Feb 07 (Print Publication: 2019).
DOI:	10.1159/000495562
Abstrakt:	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.
Databáze:	MEDLINE
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