[Purpose] This study aimed to evaluation of the Tokyo cognitive
assessment (Toca) for predicting cognitive impairment in rehabilitation users.
[Method] The variables of age, BMI, educational background, Toca for 36
rehabilitation users and 22 healthy elder were assessed. We compared cognitive
functions in rehabilitation users who need support and healthy elders.
[Results] Of the Toca1 to 11trials, there was a
significant difference other than 9,10rials.
The Toca scores with 8 points higher were significantly higher in healthy
elders than in rehabilitation users. The area under the receiver-operator curve
(AUC) for predicting mild cognitive impairment (MCI) by the Toca was 0.874.
Using a cut-off point of 19/20, the Toca demonstrated a sensitivity of 83.9%
and a sensitivity of 85.0% in diagnosing MCI. [Conclusion] The Toca is a brief
cognitive screening tool with high sensitivity and specificity for detecting
MCI as currently conceptualized in rehabilitation users.
References
[1]
Ministry of Health, Labor and Welfare Dementia Measure Promotion Comprehensive Strategy (New Orange Plan).
https://www.mhlw.go.jp/file/06-Seisakujouhou-12300000-Roukenkyoku/
[2]
Petersen, R.C., Smith, G.E., Waring, S.C., Ivnik, R.J., Tangalos, E.G. and Kokmen, E. (1999) Mild Cognitive Impairment Clinical Characterization and Outcome. Archives of Neurology, 56, 303-308. https://doi.org/10.1001/archneur.56.3.303
[3]
Eshkoor, S.A., Hamid, T.A., Mun, C.Y. and Ng, C.K. (2015) Mild Cognitive Impairment and Its Management in Older People. Clinical Interventions in Aging, 10, 687-693. https://doi.org/10.2147/CIA.S73922
[4]
Albert, M.S., DeKosky, S.T., Dickson, D., Dubois, B., Feldman, H.H., Fox, N.C., Gamst, A., Holtzman, D.M., Jagust, W.J., Petersen, R.C., Snyder, P.J., Carrillo, M.C., Thies, B. and Phelps, C.H. (2011) The Diagnosis of Mild Cognitive Impairment due to Alzheimer’s Disease: Recommendations from the National Institute on Aging-Alzheimer’s Association Workgroups on Diagnostic Guidelines for Alzheimer’s Disease. Alzheimer’s & Dementia, 7, 270-279.
https://doi.org/10.1016/j.jalz.2011.03.008
Mellor, D., Lewis, M., McCabe, M., Byrne, L., Wang, T., Wang, J.-H., Zhu, M.-J., Cheng, Y., Yang, C., Dong, S.H. and Xiao, S. (2016) Determining Appropriate Screening Tools and Cut-Points for Cognitive Impairment in an Elderly Chinese Sample. Psychological Assessment, 28, 1345-1353.
https://doi.org/10.1037/pas0000271
[7]
Kuniaki, O., Yutaka, K., Gaku, Y., Junko, S., Tomoko, K., Toshie, S., Germaine, C. and Bupei, U. (2017) Tokyo Cognitive Assessment for Mild Cognitive Impairment, Toca-MCI. Therapeutic Research, 38, 579-621.
[8]
Pui, Y., Louise, W., Chun, C., Cho, Y., Jess, L., Yuen, Y., Lap, N., Hiu, S. and Mei, L. (2020) The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool for Mild Cognitive Impairment. Neuropsychiatric Disease and Treatment, 16, 695-699.
[9]
Cummings, J. and Benson, D. (1992) Dementia: A Clinical Approach. 2nd Edition, Butterworth-Heinemann, Boston, 45-64.
[10]
Bruno, K., Nina, R., Sandra, T., Hans, J.S., Bianca, H., Hans, O.K. and Karl, W. (2013) Performance on the Frontal Assessment Battery Is Sensitive to Frontal Lobe Damage in Stroke Patients. BMC Neurology, 13, Article Number: 179.
https://doi.org/10.1186/1471-2377-13-179