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Validation of the Mini-Addenbrooke’s Cognitive Examination in Mild Cognitive Impairment in Arabic Speakers
Dementia and Geriatric Cognitive Disorders ( IF 2.2 ) Pub Date : 2021-07-22 , DOI: 10.1159/000517580
Tarik Qassem 1, 2, 3 , Mohamed S Khater 4 , Tamer Emara 5 , Doha Rasheedy 4 , Heba M Tawfik 4 , Ahmed S Mohammedin 4, 6 , Mohammad F Tolba 4 , Dina Aly El-Gabry 2 , Karim Abdel Aziz 7 , Heba G Saber 4
Affiliation  

Introduction: Mild cognitive impairment (MCI) represents a target for early detection and intervention in dementia, yet there is a shortage of validated screening tools in Arabic to diagnose MCI. The mini-Addenbrooke’s Cognitive Examination (m-ACE) is a brief cognitive battery that is scored out of 30 and can be administered in under 5 min providing a quick screening tool for assessment of cognition. Objective: We aimed to validate the m-ACE in Arabic speakers in Egypt with MCI to provide cut-off scores. Methods: We included 24 patients with MCI and 52 controls and administered the Arabic version of the m-ACE. Results: There was a statistically significant difference (p #x3c; 0.0001) on the total m-ACE score between MCI patients (mean 18.54, SD 3.05) and controls (mean 24.54, SD 2.68). There was also a statistically significant difference between MCI patients and controls on the total score and the fluency, visuospatial, and memory recall sub-scores of the m-ACE (p #x3c; 0.05). Performance on the m-ACE significantly correlated with both the Mini-Mental State Examination (MMSE) and the Addenbrooke’s Cognitive Examination-III (ACE-III). Using a receiver operator characteristic curve, the optimal cut-off score for MCI on the m-ACE total score was 21 out of 30 (87.5% sensitivity, 84.6% specificity, and 85.5% accuracy). Conclusions: We validated the Arabic m-ACE in Egyptian patients with MCI and provided objective validation of it as a screening tool for MCI, with good sensitivity, specificity, and accuracy that is comparable to other translated versions of the m-ACE in MCI.
Dement Geriatr Cogn Disord


中文翻译:

Mini-Addenbrooke 认知检查在阿拉伯语人士轻度认知障碍中的验证

简介:轻度认知障碍 (MCI) 是早期发现和干预痴呆症的目标,但缺乏经过验证的阿拉伯语筛查工具来诊断 MCI。迷你阿登布鲁克认知检查 (m-ACE) 是一种简短的认知测试,总分为 30 分,可在 5 分钟内完成,为评估认知提供了一种快速筛选工具。目标:我们旨在通过 MCI 验证埃及阿拉伯语使用者的 m-ACE,以提供截止分数。方法:我们纳入了 24 名 MCI 患者和 52 名对照组,并给予了阿拉伯版本的 m-ACE。结果:有统计学显着差异( p#x3c; MCI 患者(平均 18.54,SD 3.05)和对照组(平均 24.54,SD 2.68)之间的总 m-ACE 评分为 0.0001)。MCI 患者和对照组之间在 m-ACE 的总分和流畅性、视觉空间和记忆回忆子分数上也存在统计学上的显着差异 ( p #x3c; 0.05)。m-ACE 的表现与简易精神状态检查 (MMSE) 和阿登布鲁克认知检查-III (ACE-III) 显着相关。使用接受者操作特征曲线,m-ACE 总分中 MCI 的最佳截止分数为 21 分,共 30 分(敏感性 87.5%,特异性 84.6%,准确度 85.5%)。结论:我们在埃及 MCI 患者中验证了阿拉伯语 m-ACE,并对其作为 MCI 筛查工具进行了客观验证,具有与 MCI 中 m-ACE 的其他翻译版本相媲美的良好灵敏度、特异性和准确性。
老年痴呆症认知障碍
更新日期:2021-07-22
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