Diagnostic Performance of Ain-Shams Cognitive Assessment tool among older adults with Mild Cognitive Impairment
Abousamra, S., El Sorady, K., Arafa Ghazi, H., Mohamed, H., El Said, S., Ebeid, S. (2022). Diagnostic Performance of Ain-Shams Cognitive Assessment tool among older adults with Mild Cognitive Impairment. EKB Journal Management System, 9(1), 43-55. doi: 10.21608/ejgg.2022.237003
Safinaz Abousamra; Khaled El Sorady; Hossam Arafa Ghazi; Hazem Mohamed; Salma El Said; Somia Ebeid. "Diagnostic Performance of Ain-Shams Cognitive Assessment tool among older adults with Mild Cognitive Impairment". EKB Journal Management System, 9, 1, 2022, 43-55. doi: 10.21608/ejgg.2022.237003
Abousamra, S., El Sorady, K., Arafa Ghazi, H., Mohamed, H., El Said, S., Ebeid, S. (2022). 'Diagnostic Performance of Ain-Shams Cognitive Assessment tool among older adults with Mild Cognitive Impairment', EKB Journal Management System, 9(1), pp. 43-55. doi: 10.21608/ejgg.2022.237003
Abousamra, S., El Sorady, K., Arafa Ghazi, H., Mohamed, H., El Said, S., Ebeid, S. Diagnostic Performance of Ain-Shams Cognitive Assessment tool among older adults with Mild Cognitive Impairment. EKB Journal Management System, 2022; 9(1): 43-55. doi: 10.21608/ejgg.2022.237003

Diagnostic Performance of Ain-Shams Cognitive Assessment tool among older adults with Mild Cognitive Impairment

The Egyptian Journal of Geriatrics and Gerontology
Article 5, Volume 9, Issue 1, March 2022, Page 43-55  XML PDF (623.93 K)
Document Type: Original Article
DOI: 10.21608/ejgg.2022.237003
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Authors
Safinaz Abousamra email orcid 1; Khaled El Sorady2; Hossam Arafa Ghazi3; Hazem Mohamed4; Salma El Said2; Somia Ebeid2
1¹Department of Geriatrics and Gerontology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
2Department of Geriatrics and Gerontology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
3Department of Geriatrics and Gerontology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
4Department of Community Medicine, National Research Centre, Cairo, Egypt
Abstract
Background: A new neuropsychiatric battery named Ain-shams cognitive assessment tool (ASCA) targets MCI and dementia diagnosis. The current study aims to determine the diagnostic performance of ASCA among older adults with MCI. Methods: A comparative cross-sectional study included one hundred elderly persons (aged ≥60 years) both males and females recruited from El-Mansoura university hospital outpatients’ clinics, and divided into 2 groups based on the Arabic version of the Rowland Universal Dementia Assessment Scale (A-RUDAS) score: Group A: Fifty participants with MCI, defined as A-RUDAS score<24. Group B: Fifty participants with normal cognitive function. The data collection process included: Step 1: Comprehensive geriatric assessment. Step 2: cognitive assessment by using A-RUDAS, Step 3: Applying ASCA. Step 4: Statistical analysis was done. RESULTS: The Mean age in the MCI group was 68.9±4.1 years. Participants who were assisted in IADL and had a higher risk of malnutrition were significantly more frequent in the MCI group, with P-values of 0.004 and 0.02 respectively. The total ASCA score for the current study participants at the cut-off point ≤95 had perfect diagnostic characteristics in differentiating MCI from normal participants with sensitivity and specificity of 100%. The total score of Verbal learning and recall tests of ASCA of the current study participants at ≤39 had the highest MCI diagnostic performance with sensitivity and specificity of 96.0% and 90.0% respectively. There was no statistically significant association between the participants` educational level and their performance in ASCA battery tests. CONCLUSION: ASCA was a valid tool for MCI diagnosis among literate and illiterate participants. 
Keywords
Mild Cognitive Impairment; RUDAS; ASCA; Older Adults
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