MCI of different etiologies differ on the Cognitive Assessment Battery

Acta Neurol Scand. 2015 Jul;132(1):31-6. doi: 10.1111/ane.12353. Epub 2014 Dec 11.

Abstract

Objectives: The study aims to investigate whether patients with mild cognitive impairment (MCI) who have significant vascular disease (MCI-vas) differ from those with no significant vascular disease (MCI-nov) in terms of cognitive profile when assessed with the cognitive assessment battery (CAB).

Materials and methods: Seventy patients clinically diagnosed with MCI were included in the study, 32 were classified as MCI-vas, and 38 as MCI-nov, together with 40 healthy controls. CAB consists of six short tests measuring speed and attention, memory, visuospatial functions, language, and executive functions.

Results: The healthy controls performed better than both MCI groups on CAB. MCI-vas patients were significantly older and had fewer years of education than MCI-nov patients. When adjusted for age and education, MCI-vas performed significantly worse than MCI-nov on memory, language, and executive tests.

Conclusions: The results suggest that CAB can differentiate between MCI patients with and without vascular disease and that their cognitive profiles differ. Furthermore, CAB classified the patients as vascular and non-vascular MCI with good sensitivity and specificity.

Keywords: dementia; mild cognitive impairment; neuropsychology; vascular disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cognitive Dysfunction / diagnosis*
  • Cognitive Dysfunction / etiology*
  • Dementia / diagnosis
  • Dementia, Vascular / diagnosis
  • Diagnosis, Differential
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests*
  • Sensitivity and Specificity