The optimum cut-off for the detection of dementia was ≤21 points with a sensitivity of 96.3% and a specificity of 90%. Results: A mean score of 25.49 (SD = 3.01) points in the German MoCA-H was achieved in cognitively healthy participants, 20.08 (SD = 2.29) in the MCI and 15.80 (SD = 3.85) in the dementia group. Performance cut-offs for normal cognition, MCI and dementia were estimated for the MoCA-H score and z-scores using the English MoCA-H cut-off, the balanced cut-off and the Youden’s Index. Materials and methods: A total of 346 participants aged 60–97 years (M = 77.18, SD = 9.56) were included 160 were cognitively healthy, 79 with MCI and 107 were living with dementia based on the GPCOG and a detailed medical questionnaire as well as a comprehensive examination by a neurologist in case of cognitive impairment. The aim of the present study was to assess the diagnostic accuracy of the German MoCA-H among those with normal cognition, mild cognitive impairment (MCI) and dementia and to determine an appropriate performance cut- off. As the MoCA is known to perform differently across languages, revalidation of the German MoCA-H was necessary. To address the need for a cognitive screening test suitable for people with hearing loss, a visual version of the Montreal-Cognitive-Assessment was developed and recently validated in English (MoCA-H), with good sensitivity and specificity for identifying cases of dementia. Most neurocognitive screening tests are auditory-based, and performance can be affected by hearing loss. 4Centre for Hearing Research (CHEAR), School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, QLD, Australiaīackground: Hearing loss and dementia are highly prevalent in older age and often co-occur.3MoCA Clinic and Institute, Greenfield Park, QC, Canada.2Department of Geriatric Medicine, Marien Hospital Herne, Ruhr University Bochum, Herne, Germany.1Department of Otorhinolaryngology, Head and Neck Surgery, Catholic Hospital Bochum, Ruhr University Bochum, Bochum, Germany.Christiane Völter 1*† Hannah Fricke 1† Sarah Faour 1 Gero Lueg 2 Ziad S.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |