Chinese version of Montreal Cognitive Assessment Basic for discrimination among different severities of Alzheimer’s disease

Lin Huang,1 Ke-Liang Chen,1 Bi-Ying Lin,1 Le Tang,1 Qian-Hua Zhao,1 Ying-Ru Lv,2,* Qi-Hao Guo1,* 1Department of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China; 2Department of Radiology, Huashan Hospital, Fudan University, Shanghai, China *These authors con...

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Autores principales: Huang L, Chen KL, Lin BY, Tang L, Zhao QH, Lv YR, Guo QH
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Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:6f41a8c453544930a5580924fcea9aea2021-12-02T06:47:50ZChinese version of Montreal Cognitive Assessment Basic for discrimination among different severities of Alzheimer’s disease1178-2021https://doaj.org/article/6f41a8c453544930a5580924fcea9aea2018-08-01T00:00:00Zhttps://www.dovepress.com/chinese-version-of-montreal-cognitive-assessment-basic-for-discriminat-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Lin Huang,1 Ke-Liang Chen,1 Bi-Ying Lin,1 Le Tang,1 Qian-Hua Zhao,1 Ying-Ru Lv,2,* Qi-Hao Guo1,* 1Department of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China; 2Department of Radiology, Huashan Hospital, Fudan University, Shanghai, China *These authors contributed equally to this work Objectives: To find out whether the Chinese version of Montreal Cognitive Assessment Basic (MoCA-BC) and its subtests could be applied in discrimination among cognitively normal controls (NC), mild cognitive impairment (MCI), mild and moderate Alzheimer’s Disease (AD), and furthermore, to determine the optimal cutoffs most sensitive to distinguish between them.Design: A cross-sectional validation study.Setting: Huashan Hospital, Shanghai, China.Participants: There was a total of 1,969 participants: individuals with MCI (n=663), mild (n=345), moderate (n=441) AD, and cognitively NC (n=520) were recruited from the Memory Clinic, Huashan Hospital, Shanghai, China.Measurements: Baseline MoCA-BC scores were collected from firsthand data. Two subtests were calculated from MoCA-BC: the Memory Index Score of MoCA-BC (MoCA-BC-MIS) and the Non-memory Index Score of MoCA-BC (MoCA-BC-NM).Results: MoCA-BC was an effective cognitive tool to discriminate among NC, MCI, mild and moderate AD in the Chinese elderly across all education groups, implying that it was efficient not only for detecting MCI, but for different severities of AD as well. For MCI screening, the total score of MoCA-BC (MoCA-BC-T) and MoCA-BC-MIS had similar high sensitivity and specificity. For discrimination among MCI, mild and moderate AD, the MoCA-BC-T and MoCA-BC-NM had similar performance.Conclusion: MoCA-BC is an effective cognitive test to distinguish between NC, MCI, mild and moderate AD among the Chinese elderly with various levels of education. Keywords: mild cognitive impairment, Montreal Cognitive Assessment, Alzheimer’s disease, cutoff studyHuang LChen KLLin BYTang LZhao QHLv YRGuo QHDove Medical PressarticleMild Cognitive ImpairmentMontreal Cognitive AssessmentAlzheimer's Diseasecut-off study.Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 2133-2140 (2018)
institution DOAJ
collection DOAJ
language EN
topic Mild Cognitive Impairment
Montreal Cognitive Assessment
Alzheimer's Disease
cut-off study.
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Mild Cognitive Impairment
Montreal Cognitive Assessment
Alzheimer's Disease
cut-off study.
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Huang L
Chen KL
Lin BY
Tang L
Zhao QH
Lv YR
Guo QH
Chinese version of Montreal Cognitive Assessment Basic for discrimination among different severities of Alzheimer’s disease
description Lin Huang,1 Ke-Liang Chen,1 Bi-Ying Lin,1 Le Tang,1 Qian-Hua Zhao,1 Ying-Ru Lv,2,* Qi-Hao Guo1,* 1Department of Neurology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China; 2Department of Radiology, Huashan Hospital, Fudan University, Shanghai, China *These authors contributed equally to this work Objectives: To find out whether the Chinese version of Montreal Cognitive Assessment Basic (MoCA-BC) and its subtests could be applied in discrimination among cognitively normal controls (NC), mild cognitive impairment (MCI), mild and moderate Alzheimer’s Disease (AD), and furthermore, to determine the optimal cutoffs most sensitive to distinguish between them.Design: A cross-sectional validation study.Setting: Huashan Hospital, Shanghai, China.Participants: There was a total of 1,969 participants: individuals with MCI (n=663), mild (n=345), moderate (n=441) AD, and cognitively NC (n=520) were recruited from the Memory Clinic, Huashan Hospital, Shanghai, China.Measurements: Baseline MoCA-BC scores were collected from firsthand data. Two subtests were calculated from MoCA-BC: the Memory Index Score of MoCA-BC (MoCA-BC-MIS) and the Non-memory Index Score of MoCA-BC (MoCA-BC-NM).Results: MoCA-BC was an effective cognitive tool to discriminate among NC, MCI, mild and moderate AD in the Chinese elderly across all education groups, implying that it was efficient not only for detecting MCI, but for different severities of AD as well. For MCI screening, the total score of MoCA-BC (MoCA-BC-T) and MoCA-BC-MIS had similar high sensitivity and specificity. For discrimination among MCI, mild and moderate AD, the MoCA-BC-T and MoCA-BC-NM had similar performance.Conclusion: MoCA-BC is an effective cognitive test to distinguish between NC, MCI, mild and moderate AD among the Chinese elderly with various levels of education. Keywords: mild cognitive impairment, Montreal Cognitive Assessment, Alzheimer’s disease, cutoff study
format article
author Huang L
Chen KL
Lin BY
Tang L
Zhao QH
Lv YR
Guo QH
author_facet Huang L
Chen KL
Lin BY
Tang L
Zhao QH
Lv YR
Guo QH
author_sort Huang L
title Chinese version of Montreal Cognitive Assessment Basic for discrimination among different severities of Alzheimer’s disease
title_short Chinese version of Montreal Cognitive Assessment Basic for discrimination among different severities of Alzheimer’s disease
title_full Chinese version of Montreal Cognitive Assessment Basic for discrimination among different severities of Alzheimer’s disease
title_fullStr Chinese version of Montreal Cognitive Assessment Basic for discrimination among different severities of Alzheimer’s disease
title_full_unstemmed Chinese version of Montreal Cognitive Assessment Basic for discrimination among different severities of Alzheimer’s disease
title_sort chinese version of montreal cognitive assessment basic for discrimination among different severities of alzheimer’s disease
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/6f41a8c453544930a5580924fcea9aea
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