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首页> 外文期刊>Dementia and geriatric cognitive disorders >Validation of the Sinhala Version of the Addenbrooke's Cognitive Examination-Revised for the Detection of Dementia in Sri Lanka: Comparison with the Mini-Mental Status Examination and the Montreal Cognitive Assessment
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Validation of the Sinhala Version of the Addenbrooke's Cognitive Examination-Revised for the Detection of Dementia in Sri Lanka: Comparison with the Mini-Mental Status Examination and the Montreal Cognitive Assessment

机译：验证Sinhala版Addenbroke的认知检查，用于检测斯里兰卡痴呆症：与迷你精神状态检查和蒙特利尔认知评估的比较

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Background: Sri Lanka is a rapidly aging country, where dementia prevalence will increase significantly in the future. Thus, inexpensive and sensitive cognitive screening tools are crucial. Objectives: To assess the reliability, validity, and diagnostic accuracy of the Sinhalese version of the Addenbrooke's Cognitive Examination-Revised (ACE-R s). Method: The ACE-R was translated into Sinhala with cultural and linguistic adaptations and administered, together with the Sinhala version of the Montreal Cognitive Assessment (MoCA), to 99 patients with dementia and 93 gender-matched controls. Results: The ACE-R s cutoff score for dementia was 80 (sensitivity 91.9%, specificity 76.3%). The areas under the curve for the ACE-R s, Mini-Mental State Examination (MMSE) and MoCA were 0.90, 0.86, and 0.86, respectively. The -ACE-R s had good interrater reliability (intraclass correlation = 0.94), test-retest reliability (intraclass correlation = 0.99), and internal consistency (Cronbach's alpha = 0.8442). Conclusions: The ACE-R s is sensitive, specific and reliable to detect dementia in persons aged >= 50 years in a Sinhala-speaking population and its diagnostic accuracy is superior to previously validated tools (MMSE and MoCA).
机译：背景：斯里兰卡是一个快速老化的国家，痴呆症在未来将会显着增加。因此，廉价且敏感的认知筛选工具至关重要。目标：评估棉铃奏族县的僧伽罗基的认知检查修订（ACE-R S）的僧伽罗语版本的可靠性，有效性和诊断准确性。方法：ACE-R与文化和语言适应转化为Sinhala，并与蒙特利尔认知评估（MOCA）的Sinhala版本一起施用，达到99例痴呆症和93名性别匹配的对照。结果：痴呆症的ACE-R S切断分数为80（灵敏度91.9％，特异性76.3％）。 ACE-R S，迷你精神状态检查（MMSE）和MOCA曲线下的区域分别为0.90,0.86和0.86。 -ACE-R S具有良好的Interray可靠性（Intraclass Corlelation = 0.94），测试 - 保持性可靠性（脑内相关= 0.99）和内部一致性（Cronbach的alpha = 0.8442）。结论：ACE-R S是敏感的，具体且可靠，以检测SINHALA的人口中的痴呆症，= 50年的痴呆症，其诊断准确性优于先前验证的工具（MMSE和MOCA）。

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