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Screening of mild cognitive impairment in Chinese older adults--a multistage validation of the Chinese abbreviated mild cognitive impairment test.
Neuroepidemiology 2008; 30(1):6-12N

Abstract

OBJECTIVE

To develop a short cognitive test for screening mild cognitive impairment (MCI) in Hong Kong Chinese older adults.

METHODS

The Chinese Abbreviated MCI (CAMCI) test was developed with a multistage process. In phase 1, a short version of the cognitive test comprising a 1-min animal fluency test and a 10-min delayed word list recall was developed and tested in 578 volunteers (community-dwelling active elderly persons). In phase 2, the CAMCI test was validated in an independent and randomly recruited sample of 459 participants in a community survey. Additionally, the predictive significance of the CAMCI test was evaluated in a group of 196 subjects assessed in phase 1 for conversion to clinical dementia at 20 months' follow-up. The discriminating power of the CAMCI test in differentiating MCI from normal control (NC) and mildly demented subjects was compared with Mini Mental State Examination (MMSE) and Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog) subscales.

RESULTS

The CAMCI test was found to have high discriminating power in differentiating NC from MCI and mildly demented subjects in the phase 1 volunteer sample. The receiver operating characteristics (ROC) revealed an area under the curve (AUC) of 0.91. The ROC were further validated in the phase 2 sample. The AUC of the CAMCI test was compared with MMSE and ADAS-Cog subscales. The short MCI test was comparable to the ADAS-Cog subscale in discriminating NC from MCI and demented subjects (chi(2) test, p = n.s.). Logistic regression analysis was carried out to determine significant baseline predictors for conversion to dementia at phase 3 follow-up. Both ADAS-Cog total [Exp(B) = 1.115, p = 0.028] and CAMCI [Exp(B) = 0.88, p = 0.045] scores were significant predictors for dementia status at follow-up.

CONCLUSION

The CAMCI test is able to discriminate NC from MCI and mild dementia in Hong Kong Chinese older adults. Its potential for large-scale community screening for early detection of cognitive impairment in late life should be emphasized and explored.

Authors+Show Affiliations

Department of Psychiatry, Chinese University of Hong Kong, Shatin, Hong Kong, SAR, China. cwlam@cuhk.edu.hkNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Validation Studies

Language

eng

PubMed ID

18204291

Citation

Lam, Linda C W., et al. "Screening of Mild Cognitive Impairment in Chinese Older Adults--a Multistage Validation of the Chinese Abbreviated Mild Cognitive Impairment Test." Neuroepidemiology, vol. 30, no. 1, 2008, pp. 6-12.
Lam LC, Tam CW, Lui VW, et al. Screening of mild cognitive impairment in Chinese older adults--a multistage validation of the Chinese abbreviated mild cognitive impairment test. Neuroepidemiology. 2008;30(1):6-12.
Lam, L. C., Tam, C. W., Lui, V. W., Chan, W. C., Chan, S. S., Chiu, H. F., ... Chan, W. M. (2008). Screening of mild cognitive impairment in Chinese older adults--a multistage validation of the Chinese abbreviated mild cognitive impairment test. Neuroepidemiology, 30(1), pp. 6-12. doi:10.1159/000113300.
Lam LC, et al. Screening of Mild Cognitive Impairment in Chinese Older Adults--a Multistage Validation of the Chinese Abbreviated Mild Cognitive Impairment Test. Neuroepidemiology. 2008;30(1):6-12. PubMed PMID: 18204291.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Screening of mild cognitive impairment in Chinese older adults--a multistage validation of the Chinese abbreviated mild cognitive impairment test. AU - Lam,Linda C W, AU - Tam,Cindy W C, AU - Lui,Victor W C, AU - Chan,W C, AU - Chan,Sandra S M, AU - Chiu,Helen F K, AU - Leung,Tony, AU - Tham,M K, AU - Ho,K S, AU - Chan,W M, Y1 - 2008/01/17/ PY - 2006/12/04/received PY - 2007/08/08/accepted PY - 2008/1/22/pubmed PY - 2008/3/29/medline PY - 2008/1/22/entrez SP - 6 EP - 12 JF - Neuroepidemiology JO - Neuroepidemiology VL - 30 IS - 1 N2 - OBJECTIVE: To develop a short cognitive test for screening mild cognitive impairment (MCI) in Hong Kong Chinese older adults. METHODS: The Chinese Abbreviated MCI (CAMCI) test was developed with a multistage process. In phase 1, a short version of the cognitive test comprising a 1-min animal fluency test and a 10-min delayed word list recall was developed and tested in 578 volunteers (community-dwelling active elderly persons). In phase 2, the CAMCI test was validated in an independent and randomly recruited sample of 459 participants in a community survey. Additionally, the predictive significance of the CAMCI test was evaluated in a group of 196 subjects assessed in phase 1 for conversion to clinical dementia at 20 months' follow-up. The discriminating power of the CAMCI test in differentiating MCI from normal control (NC) and mildly demented subjects was compared with Mini Mental State Examination (MMSE) and Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog) subscales. RESULTS: The CAMCI test was found to have high discriminating power in differentiating NC from MCI and mildly demented subjects in the phase 1 volunteer sample. The receiver operating characteristics (ROC) revealed an area under the curve (AUC) of 0.91. The ROC were further validated in the phase 2 sample. The AUC of the CAMCI test was compared with MMSE and ADAS-Cog subscales. The short MCI test was comparable to the ADAS-Cog subscale in discriminating NC from MCI and demented subjects (chi(2) test, p = n.s.). Logistic regression analysis was carried out to determine significant baseline predictors for conversion to dementia at phase 3 follow-up. Both ADAS-Cog total [Exp(B) = 1.115, p = 0.028] and CAMCI [Exp(B) = 0.88, p = 0.045] scores were significant predictors for dementia status at follow-up. CONCLUSION: The CAMCI test is able to discriminate NC from MCI and mild dementia in Hong Kong Chinese older adults. Its potential for large-scale community screening for early detection of cognitive impairment in late life should be emphasized and explored. SN - 1423-0208 UR - https://www.unboundmedicine.com/medline/citation/18204291/Screening_of_mild_cognitive_impairment_in_Chinese_older_adults__a_multistage_validation_of_the_Chinese_abbreviated_mild_cognitive_impairment_test_ L2 - https://www.karger.com?DOI=10.1159/000113300 DB - PRIME DP - Unbound Medicine ER -