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dc.contributor.authorCustodio, Nilton
dc.contributor.authorMontesinos, Rosa
dc.contributor.authorAlva-Díaz, Carlos
dc.contributor.authorPacheco-Barrios, Kevin
dc.contributor.authorRodriguez-Calienes, Aaron
dc.contributor.authorHerrera-Pérez, Eder
dc.contributor.authorBecerra-Becerra, Yahaira
dc.contributor.authorCastro-Suárez, Sheila
dc.contributor.authorPintado-Caipa, Maritza
dc.contributor.authorCruz del Castillo, Rossana
dc.contributor.authorCuenca, José
dc.contributor.authorLira, David
dc.identifier.citationCustodio, N. ...[et al]. (2021). Diagnostic accuracy of brief cognitive screening tools to diagnose vascular cognitive impairment in Peru. International Journal of Geriatric Psychiatry, 2(675).
dc.description.abstractABSTRACT Introduction To evaluate the diagnostic accuracy of three brief cognitive screening (BCS) tools, Peruvian version of Addenbrooke's Cognitive Examination (ACE-Pe), of INECO Frontal Screening (IFS-Pe) and of the Mini-Mental State Examination (MMSE-Pe), for the diagnosis of vascular cognitive impairment (VCI) and its non-dementia stages (VCI-ND) and vascular dementia (VD) in patients with cerebral stroke in Lima—Peru. Materials and methods A cohort analysis to evaluate the diagnostic accuracy of three BCS for VCI. Results Two hundred and four patients were evaluated: 61% Non-VCI, 30% VCI-ND and 9% VD. To discriminate patients with VCI from controls, the area under the curve (AUC) of ACE-Pe, IFS-Pe and MMs-Pe were 0.99 (95% confidence interval [CI] 0.98–0.99), 0.99 (95%CI 0.98–0.99) and 0.87 (95%CI 0.82–0.92), respectively. Of the three BCS, the IFS-Pe presented a larger AUC to discriminate VCI-ND from VD (AUC = 0.98 [95%CI 0.95–1]) compared to ACE-Pe (AUC = 0.84 [95%CI 0.74–0.95]) and MMSE-Pe (0.92 [95%CI 0.86–0.99]). The IFS-Pe presented a higher sensitivity (S), specificity (Sp), and positive (+LR) and negative likelihood ratios (−LR) (S = 96.72%, Sp = 89.47%, +LR = 9.1 and −LR = 0.03) than ACE-Pe (S = 96.72%, Sp = 63.16%, +LR = 2.62 and −LR = 0.05) and MMSE-Pe (S = 90.16%, Sp = 78.95%, +LR = 4.28 and −LR = 0.12). In the multiple regression analysis, the IFS-Pe was not affected by age, sex or years of schooling. Conclusion The IFS-Pe has the best diagnostic accuracy for detecting VCI and discriminating between pre-dementia (VCI-ND) and dementia (VD) stages.es_PE
dc.publisherJohn Wiley and Sons Ltd.es_PE
dc.rightsAtribución-NoComercial-CompartirIgual 3.0 Estados Unidos de América*
dc.sourceUniversidad Privada del Nortees_PE
dc.sourceRepositorio Institucional - UPNes_PE
dc.subjectPsicología cognitivaes_PE
dc.subjectTrastornos mentaleses_PE
dc.titleDiagnostic accuracy of brief cognitive screening tools to diagnose vascular cognitive impairment in Perues_PE
dc.identifier.journalInternational Journal of Geriatric Psychiatryes_PE
dc.description.sedeSan Juan de Luriganchoes_PE

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