OBJECTIVE: To devise an Italian version of the quick mild cognitive impairment screen (Qmci) and to obtain normative data. METHODS: An Italian version of the Qmci screen (Qmci-I) was administered to 307 subjects free from cognitive impairment. The normative sample was divided into three age levels (50-59; 60-69 and 70-80 years) and four education levels (3-5; 6-8; 9-13; >13 years of school attendance). Multiple regression analyses were used to evaluate the effect of age, sex and schooling on Qmci-I scores (overall and by domains) and to calculate cut-off values, with reference to the confidence interval on the fifth centile. RESULTS: The mean Qmci-I score was 64/100 (SD = 11). The age variable showed a significant negative effect on the overall Qmci-I score, with older people performing worse than younger ones. Conversely, education was associated with higher scores. Significant effects of age and education affected logical memory alone. For the other domains, the following effects were found: (1) higher age associated with lower scores on delayed recall; (2) higher education levels associated with higher scores on immediate recall, clock drawing and word fluency. The adjusted cut-off score for the Qmci-I screen in this sample was 49.4. Qmci-I scores were weakly correlated with those of MMSE (rho = 0.20). CONCLUSIONS: The Qmci-I is a rapid and multi-domain short cognitive screening instrument useful for evaluating cognitive functions. However, like other screening tools, it is significantly influenced by age and education, requiring normative data and correction of values when used in the clinical practice.

The Italian version of the quick mild cognitive impairment (Qmci-I) screen: normative study on 307 healthy subjects / Iavarone, Alessandro; Carpinelli Mazzi, Michele; Russo, Gennaro; D’Anna, Francesco; Peluso, Silvio; Mazzeo, Pietro; de Luca, Vincenzo; de Michele, Giuseppe; Iaccarino, Guido; Abete, Pasquale; Milan, Graziella; Garofalo, Elisabetta; Musella, Caterina; O’Caoimh, Rónán; Molloy, William; de Joanna, Gabriella; Manzo, Valentino; Ambra, Ferdinando Ivano; Postiglione, Alfredo; Illario, Maddalena; Arcopinto, Michele; Cuccaro, Patrizia; de Chiara, Simona; DE LUCIA, Natascia; Del Giudice, Carmine; Ferrara, Nicola; Girardi, Vincenzo; Grimaldi, Iolanda; Liguori, Ilaria; Pernas, Francesco Orfila; Paúl, Constança; Tramontano, Giovanni; Tripodi, Francesca Saveria. - In: AGING CLINICAL AND EXPERIMENTAL RESEARCH. - ISSN 1594-0667. - 31:3(2019), pp. 353-360. [10.1007/s40520-018-0981-2]

The Italian version of the quick mild cognitive impairment (Qmci-I) screen: normative study on 307 healthy subjects

de Michele, Giuseppe
Methodology
;
Abete, Pasquale
Conceptualization
;
Postiglione, Alfredo
Writing – Review & Editing
;
Illario, Maddalena
Software
;
Arcopinto, Michele;Ferrara, Nicola
Investigation
;
TRAMONTANO, GIOVANNI
Software
;
2019

Abstract

OBJECTIVE: To devise an Italian version of the quick mild cognitive impairment screen (Qmci) and to obtain normative data. METHODS: An Italian version of the Qmci screen (Qmci-I) was administered to 307 subjects free from cognitive impairment. The normative sample was divided into three age levels (50-59; 60-69 and 70-80 years) and four education levels (3-5; 6-8; 9-13; >13 years of school attendance). Multiple regression analyses were used to evaluate the effect of age, sex and schooling on Qmci-I scores (overall and by domains) and to calculate cut-off values, with reference to the confidence interval on the fifth centile. RESULTS: The mean Qmci-I score was 64/100 (SD = 11). The age variable showed a significant negative effect on the overall Qmci-I score, with older people performing worse than younger ones. Conversely, education was associated with higher scores. Significant effects of age and education affected logical memory alone. For the other domains, the following effects were found: (1) higher age associated with lower scores on delayed recall; (2) higher education levels associated with higher scores on immediate recall, clock drawing and word fluency. The adjusted cut-off score for the Qmci-I screen in this sample was 49.4. Qmci-I scores were weakly correlated with those of MMSE (rho = 0.20). CONCLUSIONS: The Qmci-I is a rapid and multi-domain short cognitive screening instrument useful for evaluating cognitive functions. However, like other screening tools, it is significantly influenced by age and education, requiring normative data and correction of values when used in the clinical practice.
2019
The Italian version of the quick mild cognitive impairment (Qmci-I) screen: normative study on 307 healthy subjects / Iavarone, Alessandro; Carpinelli Mazzi, Michele; Russo, Gennaro; D’Anna, Francesco; Peluso, Silvio; Mazzeo, Pietro; de Luca, Vincenzo; de Michele, Giuseppe; Iaccarino, Guido; Abete, Pasquale; Milan, Graziella; Garofalo, Elisabetta; Musella, Caterina; O’Caoimh, Rónán; Molloy, William; de Joanna, Gabriella; Manzo, Valentino; Ambra, Ferdinando Ivano; Postiglione, Alfredo; Illario, Maddalena; Arcopinto, Michele; Cuccaro, Patrizia; de Chiara, Simona; DE LUCIA, Natascia; Del Giudice, Carmine; Ferrara, Nicola; Girardi, Vincenzo; Grimaldi, Iolanda; Liguori, Ilaria; Pernas, Francesco Orfila; Paúl, Constança; Tramontano, Giovanni; Tripodi, Francesca Saveria. - In: AGING CLINICAL AND EXPERIMENTAL RESEARCH. - ISSN 1594-0667. - 31:3(2019), pp. 353-360. [10.1007/s40520-018-0981-2]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/721541
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