Optimal Cutoff Scores for Dementia and Mild Cognitive Impairment in the Brazilian Version of the Montreal Cognitive Assessment among the Elderly
Autor: | Tatiana M Bulgacov, Gabriela Avelino da Silva, Maria Lúcia Gurgel da Costa, Everton Botelho Sougey, Antônio L Rodrigues-Júnior, Marília Suzi Pereira dos Santos, Tiago Coimbra Costa Pinto, Leonardo Machado, Rosana Christine Cavalcanti Ximenes |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Gerontology
Optimal cutoff Cognitive Neuroscience Disease lcsh:Geriatrics lcsh:RC346-429 03 medical and health sciences 0302 clinical medicine Elderly medicine Cutoff Elderly people Dementia Original Research Article Cognitive impairment lcsh:Neurology. Diseases of the nervous system 030214 geriatrics business.industry Curve analysis Montreal Cognitive Assessment Mild cognitive impairment Screening for cognitive impairment Alzheimer's disease medicine.disease COMPROMETIMENTO COGNITIVO LEVE Psychiatry and Mental health lcsh:RC952-954.6 business Alzheimer’s disease 030217 neurology & neurosurgery |
Zdroj: | Dementia and Geriatric Cognitive Disorders Extra, Vol 9, Iss 1, Pp 44-52 (2019) Dementia and Geriatric Cognitive Disorders EXTRA Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
ISSN: | 1664-5464 |
Popis: | 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: | OpenAIRE |
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