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蒙特利尔认知评估量表(MoCA)短版对脑卒中患者的同时效度。

Concurrent validity of the short version of Montreal Cognitive Assessment (MoCA) for patients with stroke.

机构信息

Department of Rehabilitation Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, China.

出版信息

Sci Rep. 2021 Mar 30;11(1):7204. doi: 10.1038/s41598-021-86615-2.

Abstract

The aim of the present study was to examine the concurrent validity of 2 Chinese versions of the short version of the Montreal Cognitive Assessment (MoCA) in patients with stroke, i.e., MoCA 5-minute protocol and National Institute for Neurological Disorders and Stroke and Canadian Stroke Network (NINDS-CSN) 5-minute Protocol. A total of 54 patients and 27 healthy controls were enrolled in this study. In this study, the Neurobehavioural Cognitive Status Examination (NCSE) was used as an external criterion of cognitive impairment. We found that the 5-min protocol did not differ from the MoCA in differentiating patients with cognitive impairments from those without (area under the receiver operating characteristic curve, AUC, of 0.948 for the MoCA 5-min protocol v.s. 0.984 for MoCA, P = 0.097). These three assessments demonstrated equal performance in differentiating patients with stroke from controls. The Chinese version of the MoCA 5-min protocol can be used as a valid screening for patients with stroke.

摘要

本研究旨在检验两种中文版蒙特利尔认知评估量表(MoCA)短版本(MoCA 5 分钟协议和国家神经疾病与中风研究所及加拿大中风网络 5 分钟协议)在脑卒中患者中的同时效度。共纳入 54 例患者和 27 名健康对照者。本研究采用神经行为认知状态检查(NCSE)作为认知障碍的外部标准。我们发现,5 分钟协议在区分认知障碍患者和非认知障碍患者方面与 MoCA 无差异(MoCA 5 分钟协议的受试者工作特征曲线下面积 AUC 为 0.948,MoCA 为 0.984,P=0.097)。这三种评估方法在区分脑卒中患者和对照组方面表现相当。MoCA 5 分钟协议中文版可作为脑卒中患者的有效筛查工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4594/8010108/63463d00d083/41598_2021_86615_Fig1_HTML.jpg

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