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The Chinese (Cantonese) Montreal Cognitive Assessment in Patients with Subcortical Ischemic Vascular Dementia

机译:皮质下缺血性血管性痴呆患者的中国(粤语)蒙特利尔认知评估

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Background: Subcortical ischemic vascular dementia (SIVD) has been proposed as the most frequent subtype of vascular cognitive impairment. The aim of this study was to evaluate the psychometric properties of the Chinese (Cantonese) Montreal Cognitive Assessment (CC- MoCA) in patients with SIVD in the Guangdong Province of China. Methods: 71 SIVD patients and 60 matched controls were recruited for the CC-MoCA, Mini Mental State Examination and executive clock drawing tasks. Receiver-operating characteristic curve analyses were performed to determine optimal sensitivity and specificity of the CC-MoCA total score in differentiating mild vascular dementia (VaD) patients from moderate VaD patients and controls. Results: The mean CC-MoCA scores of the controls, and mild and moderate VaD patients were 25.2 ± 3.8, 16.4 ± 3.7, and 10.0 ± 5.1, respectively. In our study, the optimal cutoff value for the CC-MoCA to be able to differentiate patients with mild VaD from controls is 21/22, and 13/14 to differentiate mild VaD from moderate VaD. Conclusion: The CC-MoCA is a useful cognitive screening instrument in SIVD patients.
机译:背景:皮层下缺血性血管性痴呆(SIVD)已被认为是最常见的血管性认知障碍亚型。这项研究的目的是评估中国(广东话)蒙特利尔认知评估(CC-MoCA)对中国广东省SIVD患者的心理测量特性。方法:招募了71名SIVD患者和60名相匹配的对照组进行CC-MoCA,迷你精神状态检查和执行时钟绘图任务。进行接收者操作特征曲线分析,以确定将轻度血管性痴呆(VaD)患者与中度VaD患者和对照区分开来的CC-MoCA总评分的最佳敏感性和特异性。结果:对照组和轻度和中度VaD患者的平均CC-MoCA评分分别为25.2±3.8、16.4±3.7和10.0±5.1。在我们的研究中,能够区分轻度VaD与对照的CC-MoCA的最佳临界值为21/22,而将轻度VaD与中度VaD区分的最佳临界值为21/22。结论:CC-MoCA是SIVD患者有用的认知筛查工具。

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