Brain imagingĪn MRI or CT scan can check for a brain tumor, stroke or bleeding. This can include not enough vitamin B-12 or thyroid hormone. These tests can help detect signs of Parkinson's disease, strokes, tumors or other medical conditions that can impair memory and physical function.īlood tests can help rule out physical problems that may affect memory. The problems aren't severe enough to be diagnosed as Alzheimer's disease dementia or another type of dementia.Īs part of a physical exam, a health care provider may perform some basic tests that can reveal how well the brain and nervous system are working. The tests also may reveal the types of memory most affected and whether other mental skills also are impaired. More detailed testing may help determine the degree memory is impaired. Health care providers often use a brief test such as the Short Test of Mental Status, the Montreal Cognitive Assessment (MoCA) or the Mini-Mental State Examination (MMSE). Mental status testing shows mild level of impairment for age and education level.Although symptoms may cause worry, people with MCI are still able to live their lives as usual. The change is confirmed by a family member or a close friend. This is revealed with a careful medical history. Mental function that declines over time.A provider may confirm these issues with a family member or a close friend. People with MCI may have problems with memory, planning, following instructions or making decisions. Problems with memory or another mental function.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.Īdultos mayores mexicanos Demencia Dementia Deterioro cognitivo leve Mexican elderly population Mild cognitive impairment Montreal Cognitive Assessment in Spanish Montreal Cognitive Assessment-español.Ĭopyright © 2017 Asociación Colombiana de Psiquiatría. 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 24points (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☘.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. 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.ġ68 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).
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