Abstract

Objective

The purpose of this study was to investigate the influence of education level on MMSE and MoCA scores of elderly inpatients.

Method

This is a cross-sectional study. A total of 260 elderly inpatients were evaluated by the MMSE and MoCA sequentially.

Results

The total MMSE scores were highly correlated with the total MoCA scores (r = 0.7629, p < 0.0001), and were correlated with the length of education (r = 0.2723, p < 0.0001). The total MoCA scores were also correlated with the length of education (r = 0.3323, p < 0.0001). Meanwhile, MoCA was also used to reevaluate the elderly inpatients with normal MMSE scores at different education levels. There were no significant differences at different education levels (χ²=1.351, p = 0.5090). Finally, we analyzed the diagnostic consistency of MMSE and MoCA at different education levels, and the results showed that education level was closely related to the consistency of the diagnoses based on the MMSE and MoCA (χ²=10.23, p = 0.0368).

Conclusions

In general, the results of both the MMSE and MoCA were influenced by education level, and this effect was more obvious for the MoCA. However, in the cognitive assessment of elderly patients, the ability to identify impairment with the MoCA is obviously superior to that with the MMSE.

中文翻译：

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受教育程度对老年住院患者MMSE和MoCA评分的影响

摘要

客观的

本研究旨在探讨受教育程度对老年住院患者MMSE和MoCA评分的影响。

方法

这是一项横断面研究。共有 260 名老年住院患者依次通过 MMSE 和 MoCA 进行了评估。

结果

MMSE 总分与 MoCA 总分高度相关 ( r  = 0.7629, p  < 0.0001)，并与受教育年限相关 ( r  = 0.2723, p  < 0.0001)。MoCA 总分也与受教育时间相关（r  = 0.3323，p  < 0.0001）。同时，还利用MoCA对不同文化程度MMSE评分正常的老年住院患者进行再评价。不同文化程度差异无显着性（χ ² =1.351, p = 0.5090）。最后，我们分析了不同教育程度下MMSE和MoCA的诊断一致性，结果表明，受教育程度与MMSE和MoCA诊断的一致性密切相关（ χ 2 =10.23，p ⁼ 0.0368 ）  。

结论

总的来说，MMSE和MoCA的结果都受教育程度的影响，这种影响对于MoCA更为明显。然而，在老年患者的认知评估中，MoCA识别损伤的能力明显优于MMSE。