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首页> 外文期刊>Heart and Lung: The Journal of Critical Care >The MoCA and MMSE as screeners for cognitive impairment in a heart failure population: A study with comprehensive neuropsychological testing
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The MoCA and MMSE as screeners for cognitive impairment in a heart failure population: A study with comprehensive neuropsychological testing

机译:美国华人博物馆和MMSE作为认知的安检人员障碍在心力衰竭人口:一项研究全面的神经心理测试

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Objective: To examine the ability of the Mini Mental Status Examination (MMSE) and Montreal Cognitive Assessment (MoCA) to detect cognitive impairment in persons with heart failure (HF). Background: Although the MMSE and MoCA are commonly used screeners in HF, no research team has validated their performance against neuropsychological testing. Methods: Participants were 106 patients with HF (49.1% male, 68.13±9.82 years) who completed the MoCA, MMSE, and a full neuropsychological battery. Sensitivity and specificity were examined. Discriminant function analyses tested whether the screeners correctly detected cognitive impairment. Results: A MoCA score 25 and MMSE score of 28 yielded optimal sensitivity/specificity (.64/.66 and .70/.66, respectively). The MoCA correctly classified 65% of patients, Wilk's lambda=.91, χ2(1)=9.89, p.01, and the MMSE correctly classified 68%, Wilk's lambda=.87, χ2(1)=14.26, p.001. Conclusions: In HF, both the MoCA and MMSE are useful in identifying the majority of patients with and without cognitive impairment. Both tests misclassified approximately one-third of patients, so continued monitoring and evaluation of patients is needed in conjunction with screening.
机译:目的:检查迷你的能力精神状态检查(MMSE)和蒙特利尔认知评估(MoCA)检测认知损害人的心力衰竭(HF)。背景:虽然MMSE和美国华人博物馆常用的安检人员在高频,没有研究小组验证他们的表现吗神经心理测试。106 HF患者(男性49.1%,68.13±9.82吗年)完成了美国华人博物馆、MMSE和完整神经心理学的电池。特异性检测。分析测试了安检人员是否正确发现认知障碍。分数& 25和MMSE评分& 28了最佳的敏感性和特异性(.64点/。2 /。分类65%的病人,Wilkλ=点,χ2(1)= 9.89,术中。分类68%,Wilkλ=。术;措施。MMSE识别大多数是有用的没有认知障碍患者。这两个测试分类错误的大约三分之一的病人,所以持续监测和评估病人的需要相结合与筛选。

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