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在多元文化的康复环境中比较蒙特利尔认知评估和罗兰多通用痴呆评估量表。

Comparing the Montreal Cognitive Assessment and Rowland Universal Dementia Assessment Scale in a multicultural rehabilitation setting.

机构信息

Department of Geriatric Medicine, Westmead Hospital, Sydney, New South Wales, Australia.

Western Clinical School, Westmead Hospital, Sydney, New South Wales, Australia.

出版信息

Intern Med J. 2019 Aug;49(8):1035-1040. doi: 10.1111/imj.14392.

Abstract

In Australia it is recommended that all older people undergoing rehabilitation have a cognitive screen. We performed a longitudinal study comparing the correlation of two cognitive screening tools - the Rowland Universal Dementia Assessment Scale (RUDAS) and Montreal Cognitive Assessment (MoCA) with discharge outcomes in a geriatric inpatient setting. The RUDAS cut-off (<23/30) was associated with discharge to a nursing home (sensitivity 52%, specificity 70%). This was also noted with a MoCA cut-off <18/30 (sensitivity 57%, specificity 69%). Furthermore the association between the RUDAS and discharge destination was independent of its association with the Functional Independence Measure (r = 0.116; P = 0.275) and had a shorter administration time. Both RUDAS and MoCA scores could be used as predictors of discharge destination in a multicultural population.

摘要

在澳大利亚,建议所有接受康复治疗的老年人进行认知筛查。我们进行了一项纵向研究,比较了两种认知筛查工具——罗兰普遍痴呆评估量表(RUDAS)和蒙特利尔认知评估(MoCA)与老年住院患者出院结局的相关性。RUDAS 截断值(<23/30)与养老院出院(敏感性 52%,特异性 70%)相关。MoCA 截断值<18/30 也有类似的结果(敏感性 57%,特异性 69%)。此外,RUDAS 与出院去向的关联独立于其与功能独立性测量(r = 0.116;P = 0.275)的关联,并且其管理时间更短。在多元文化人群中,RUDAS 和 MoCA 评分都可以作为出院去向的预测指标。

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