1. Clinical characteristics and diagnostic accuracy of the revised Addenbrooke Cognitive Examination (ACE-R) in older adults with a low educational level
- Author
-
José Wagner Leonel Tavares Júnior, Pedro Braga Neto, Janine de Carvalho Bonfadini, Lays Bittencourt, Candida Helena Lopes, Larissa Mendes, José Ibiapina Siqueira Neto, Valéria Sousa, Anina Amaral, Carolina Gomes Carrilho, Jonatan Oliveira Espindola, Maria Eduarda Avancini Casali, André Barciela Veras, and Gilberto Sousa Alves
- Subjects
Dementia ,cognitive screening ,illiterate ,Northeast ,Addenbrooke ,accuracy ,Psychiatry ,RC435-571 - Abstract
ABSTRACT Objective: To determine the diagnostic accuracy of the Addenbrooke’s Cognitive Examination Revised (ACE-R) as a cognitive screening tool for older adults with low levels of schooling and healthy aging, MCI and dementia in Brazil. Methods: All participants underwent neurological and psychiatric examinations and were administered a validated version of ACE-R. Results: A total of 85 participants were evaluated; most were females (84.7%, n = 72). The post hoc analysis showed statistical differences in ACE-R total scores between older adults with mild cognitive impairment (MCI) and controls (p < 0.001) and in subitem scores including verbal fluency, language, visuospatial skills and attention (p < 0.001). The visual-spatial skills subitem was the most strongly correlated with schooling level (r = 0.509, p < 0.001), whereas late, immediate recall and recognition memory were not influenced by schooling. The ACE-R had the best diagnostic accuracy in discriminating between MCI and controls = 0.69 (
- Published
- 2021
- Full Text
- View/download PDF