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Article: Use of clinical dementia rating in detecting early cognitive deficits in a community-based sample of Chinese older persons in Hong Kong

TitleUse of clinical dementia rating in detecting early cognitive deficits in a community-based sample of Chinese older persons in Hong Kong
Authors
KeywordsChinese
Clinical Dementia Rating
Mild Cognitive Impairment
Screening
Issue Date2008
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.alzheimerjournal.com
Citation
Alzheimer Disease And Associated Disorders, 2008, v. 22 n. 2, p. 153-157 How to Cite?
AbstractWith increasing demand for dementia care in the Chinese community, there is a pressing need to identify practical and valid assessment tool for early detection of dementia. In a sample of 473 randomly recruited community-dwelling Chinese older persons aged 60 or above, we evaluated the cognitive characteristics of subjects with Clinical Dementia Rating (CDR) of 0.5. The cognitive profiles of CDR 0.5 subjects were compared with standard clinical criteria for mild cognitive impairment. The Alzheimer's disease assessment scale-cognitive subscale and list learning delay recall test scores were between - 1 and - 2 SD below the cutoff for clinically not-demented subjects (CDR 0). Concordance between CDR 0.5 and mild cognitive impairment classifications were related to educational level of the subjects. A higher agreement was found in subjects having > 6 years of education than subjects having ≤ 2 years of education (85.2% vs. 53.8%) (χ 2 = 35.41, df= 2, P < 0.0001). The results suggested that CDR is able to identify mild but significant cognitive impairment in the Chinese community. The use of CDR suggested that attention should be paid to local cultural characteristics. With the use of cognitive evaluation, special adjustments are required to fit the performance of the respondents with different educational background. Copyright © 2008 by Lippincott Williams & Wilkins.
Persistent Identifierhttp://hdl.handle.net/10722/174240
ISSN
2015 Impact Factor: 2.53
2015 SCImago Journal Rankings: 1.370
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, LCWen_US
dc.contributor.authorTam, CWCen_US
dc.contributor.authorLui, VWCen_US
dc.contributor.authorChan, WCen_US
dc.contributor.authorChan, SSMen_US
dc.contributor.authorHo, KSen_US
dc.contributor.authorChan, WMen_US
dc.contributor.authorChiu, HFKen_US
dc.date.accessioned2012-11-22T02:01:30Z-
dc.date.available2012-11-22T02:01:30Z-
dc.date.issued2008en_US
dc.identifier.citationAlzheimer Disease And Associated Disorders, 2008, v. 22 n. 2, p. 153-157en_US
dc.identifier.issn0893-0341en_US
dc.identifier.urihttp://hdl.handle.net/10722/174240-
dc.description.abstractWith increasing demand for dementia care in the Chinese community, there is a pressing need to identify practical and valid assessment tool for early detection of dementia. In a sample of 473 randomly recruited community-dwelling Chinese older persons aged 60 or above, we evaluated the cognitive characteristics of subjects with Clinical Dementia Rating (CDR) of 0.5. The cognitive profiles of CDR 0.5 subjects were compared with standard clinical criteria for mild cognitive impairment. The Alzheimer's disease assessment scale-cognitive subscale and list learning delay recall test scores were between - 1 and - 2 SD below the cutoff for clinically not-demented subjects (CDR 0). Concordance between CDR 0.5 and mild cognitive impairment classifications were related to educational level of the subjects. A higher agreement was found in subjects having > 6 years of education than subjects having ≤ 2 years of education (85.2% vs. 53.8%) (χ 2 = 35.41, df= 2, P < 0.0001). The results suggested that CDR is able to identify mild but significant cognitive impairment in the Chinese community. The use of CDR suggested that attention should be paid to local cultural characteristics. With the use of cognitive evaluation, special adjustments are required to fit the performance of the respondents with different educational background. Copyright © 2008 by Lippincott Williams & Wilkins.en_US
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.alzheimerjournal.comen_US
dc.relation.ispartofAlzheimer Disease and Associated Disordersen_US
dc.subjectChineseen_US
dc.subjectClinical Dementia Ratingen_US
dc.subjectMild Cognitive Impairmenten_US
dc.subjectScreeningen_US
dc.titleUse of clinical dementia rating in detecting early cognitive deficits in a community-based sample of Chinese older persons in Hong Kongen_US
dc.typeArticleen_US
dc.identifier.emailChan, WC: waicchan@hku.hken_US
dc.identifier.authorityChan, WC=rp01687en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/WAD.0b013e3181631517en_US
dc.identifier.pmid18525287-
dc.identifier.scopuseid_2-s2.0-46249083340en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-46249083340&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume22en_US
dc.identifier.issue2en_US
dc.identifier.spage153en_US
dc.identifier.epage157en_US
dc.identifier.isiWOS:000256553600008-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLam, LCW=7201984627en_US
dc.identifier.scopusauthoridTam, CWC=26021559000en_US
dc.identifier.scopusauthoridLui, VWC=9245605300en_US
dc.identifier.scopusauthoridChan, WC=16400525900en_US
dc.identifier.scopusauthoridChan, SSM=13409371900en_US
dc.identifier.scopusauthoridHo, KS=7403581605en_US
dc.identifier.scopusauthoridChan, WM=7403918361en_US
dc.identifier.scopusauthoridChiu, HFK=7401986628en_US

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