Performance of dialysis patients on the standard and basic Arabic versions of the Montreal Cognitive Assessments.

IF 1.2 4区医学 Q4 CLINICAL NEUROLOGY Neurosciences Pub Date : 2023-04-01 DOI:10.17712/nsj.2023.2.20220110

Taim A Muayqil, Ahmad R Tarakji, Abdullah M Khattab, Nasser T Balbaid, Ahmad M Al-Dawalibi, Sami A Alqarni, Reema A Hazazi, Mohammed H Alanazy

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Abstract

Objectives: To assess cognitive performance in Saudi patients on dialysis using Arabic versions of the Montreal Cognitive Assessment (MoCA) and assess the reliability of the scales.

Methods: We performed a cross-sectional study at the dialysis unit of King Saud University Medical City, Riyadh from April 2019 to March 2020. Patients ≥ 18 years of age with no history of dementia underwent cognitive assessment with the standard (MoCA-A) and basic (MoCA-B) Arabic versions, with repeat testing in a subset of participants.

Results: Recruitment included 83 participants, 56 on hemodialysis (HD) and 27 on peritoneal dialysis (PD). The mean±SD for age was 49.99 (15.48), and for years of education was 10.29 (5.5). The mean score for MoCA-A was 21.03±5.35, and for MoCA-B was 23.45±5.14. Younger age, longer years of education and peritoneal dialysis were significantly associated with higher MoCA scores on both versions (p<0.05). The ICC was 0.81 (95% CI 0.65, 0.91) and 0.77 (95% CI 0.58, 0.89) for MoCA-A and MoCA-B, respectively. The performance on the executive and calculation tasks were higher in the PD group on the MoCA-B. The recall mean score was higher in the PD group on the MoCA-A.

Conclusion: The HD patients are at higher risk for cognitive impairment compared to PD patients. Age and education are important variables influencing performance. Both Arabic versions of the MoCA are reliable screening tools.

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透析患者在标准和基本阿拉伯语版蒙特利尔认知评估中的表现。

目的:利用阿拉伯语版蒙特利尔认知评估(MoCA)评估沙特透析患者的认知表现，并评估量表的可靠性。方法:我们于2019年4月至2020年3月在利雅得沙特国王大学医学城透析单元进行了横断面研究。年龄≥18岁且无痴呆史的患者接受标准(MoCA-A)和基本(MoCA-B)阿拉伯语版本的认知评估，并在一部分参与者中重复测试。结果:招募了83名参与者，56名血液透析(HD)和27名腹膜透析(PD)。年龄的平均值为49.99(15.48)，受教育年数为10.29(5.5)。MoCA-A的平均评分为21.03±5.35,MoCA-B的平均评分为23.45±5.14。年龄较小、受教育年限较长和腹膜透析与两种版本的MoCA评分均显著相关(结论:与PD患者相比，HD患者发生认知障碍的风险更高。年龄和教育程度是影响成绩的重要变量。两个阿拉伯版本的MoCA都是可靠的筛选工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurosciences 医学-临床神经学

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

4.5 months

期刊介绍： Neurosciences is an open access, peer-reviewed, quarterly publication. Authors are invited to submit for publication articles reporting original work related to the nervous system, e.g., neurology, neurophysiology, neuroradiology, neurosurgery, neurorehabilitation, neurooncology, neuropsychiatry, and neurogenetics, etc. Basic research withclear clinical implications will also be considered. Review articles of current interest and high standard are welcomed for consideration. Prospective workshould not be backdated. There are also sections for Case Reports, Brief Communication, Correspondence, and medical news items. To promote continuous education, training, and learning, we include Clinical Images and MCQ’s. Highlights of international and regional meetings of interest, and specialized supplements will also be considered. All submissions must conform to the Uniform Requirements.