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神经系统疾病中的衔接性认知筛查测试:简短蒙特利尔认知评估与简易精神状态检查表之间的对照

Bridging cognitive screening tests in neurologic disorders: A crosswalk between the short Montreal Cognitive Assessment and Mini-Mental State Examination.

作者信息

Roalf David R, Moore Tyler M, Mechanic-Hamilton Dawn, Wolk David A, Arnold Steven E, Weintraub Daniel A, Moberg Paul J

机构信息

Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

出版信息

Alzheimers Dement. 2017 Aug;13(8):947-952. doi: 10.1016/j.jalz.2017.01.015. Epub 2017 Feb 24.

Abstract

INTRODUCTION

To provide a crosswalk between the recently proposed short Montreal Cognitive Assessment (s-MoCA) and Mini-Mental State Examination (MMSE) within a clinical cohort.

METHODS

A total of 791 participants, with and without neurologic conditions, received both the MMSE and the MoCA at the same visit. s-MoCA scores were calculated and equipercentile equating was used to create a crosswalk between the s-MoCA and MMSE.

RESULTS

As expected, s-MoCA scores were highly correlated (Pearson r = 0.82, P < .001) with MMSE scores. s-MoCA scores correctly classified 85% of healthy older adults and 91% of individuals with neurologic conditions that impair cognition. In addition, we provide an easy to use table that enables the conversion of s-MoCA score to MMSE score.

DISCUSSION

The s-MoCA is quick to administer, provides high sensitivity and specificity for cognitive impairment, and now can be compared directly with the MMSE.

摘要

引言

在临床队列中建立最近提出的简短蒙特利尔认知评估量表(s-MoCA)与简易精神状态检查表(MMSE)之间的对应关系。

方法

共有791名有或没有神经系统疾病的参与者在同一次就诊时接受了MMSE和MoCA测试。计算s-MoCA得分,并使用等百分位等值法建立s-MoCA与MMSE之间的对应关系。

结果

正如预期的那样,s-MoCA得分与MMSE得分高度相关(Pearson相关系数r = 0.82,P <.001)。s-MoCA得分正确分类了85%的健康老年人和91%有认知障碍的神经系统疾病患者。此外,我们提供了一个易于使用的表格,可将s-MoCA得分转换为MMSE得分。

讨论

s-MoCA实施快速,对认知障碍具有高敏感性和特异性,现在可以直接与MMSE进行比较。

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