It is also estimated that in Mexico 8% of people over 65 years of age might have some form of cognitive impairment. ConclusionesĮl MoCA-E es un instrumento con validez y confiabilidad para el cribado de DCL y demencia en la población mexicana, aun después de ajustar por edad y escolaridad.Ĭognitive impairment is a significant cause of morbidity and mortality associated with population ageing worldwide, including in developing countries like Mexico, 1 where the annual incidence of dementia in the over 65 s is 30. La regresión multinomial no mostró asociación con la escolaridad y la edad tanto para DCL como para demencia. Para demencia, la sensibilidad fue del 98% y la especificidad, del 93% con el punto de corte de 24puntos (área bajo la curva = 0,998 p < 0,001). La sensibilidad fue del 80% y la especificidad, del 75% con el punto de corte de 26 puntos para DCL (área bajo la curva = 0,886 p < 0,001). La confiabilidad del MoCA-E fue 0,89 con un coeficiente de correlación intraclase de 0,955. ResultadosĮl promedio de edad de los participantes era 76 ± 8,1 años la tasa de escolaridad, 10,7 ± 5,2. Se construyeron curvas ROC y un modelo de regresión multinomial para evaluar el efecto de la edad y la escolaridad en el desempeño del MOCA-E. Se aplicó el MoCA-E y el Mini- Mental State Evaluation al inicio y en los últimos meses, para establecer la confiabilidad intraobservador. Se incluyó a 168 participantes en una clínica de memoria de la ciudad de México, en 3 grupos: 59 cognitivamente sanos (GCS), 52 con DCL (criterios del DSM- V) y 57 con demencia (criterios NINCDS-ADRDA). The MoCA-S is a valid and reliable instrument for MCI and dementia screening in the Mexican population, even after adjusting for age and education.Įstablecer la validez y confiabilidad del Montreal Evaluación Cognitiva en Español (MoCA-E) para identificar deterioro cognitivo leve (DCL) y demencia en adultos mayores mexicanos. The multinomial regression showed no association with education and age for both the MCI and dementia groups. For the dementia group, the sensitivity was 98% and specificity was 93%, with a cut-off point of 24 points (area under the curve, 0.998 p < 0.001). Sensitivity was 80% and specificity was 75%, with a cut-off point of 26 points for MCI (area under the curve, 0.886 p < 0.001). The reliability of the MoCA-S was 0.89 and the intraclass correlation coefficient was 0.955. The mean age of the participants was 76 ± 8.1 years and the education rate was 10.7 ± 5.2. ROC curves and a multinomial regression model were constructed to evaluate the effect of age and education on MoCA-S performance. The MoCA-S and Mini-Mental State Evaluation (MMSE) were applied at baseline and during the last months to establish intra-observer reliability. Material and methodsġ68 participants from a memory clinic in Mexico City were enrolled and divided into 3 groups: 59 cognitively healthy (CHG), 52 with mild cognitive impairment (MCI) (DSM-5 criteria) and 57 with dementia (NINCDS-ADRDA criteria). To establish the validity and reliability of the Montreal Cognitive Assessment in Spanish (MoCA-S) to identify mild cognitive impairment (MCI) and dementia in the Mexican elderly population.
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