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Research ArticleOriginal Article
Open Access

Performance of dialysis patients on the standard and basic Arabic versions of the Montreal Cognitive Assessments

Taim A. Muayqil, Ahmad R. Tarakji, Abdullah M. Khattab, Nasser T. Balbaid, Ahmad M. Al-Dawalibi, Sami A. Alqarni, Reema A. Hazazi and Mohammed H. Alanazy
Neurosciences Journal April 2023, 28 (2) 100-107; DOI: https://doi.org/10.17712/nsj.2023.2.20220110
Taim A. Muayqil
From the Neurology Unit (Alanazy, Muayqil), Department of Internal Medicine, College of Medicine, King Saud University, from the College of Medicine (Khattab, Balbaid, Al-Dawalibi, Alqarni, Hazazi), King Saud University, and from Nephrology division (Tarakji), St. George Medical Center, Kitchener, Ontario, and from the School of Medicine (Tarakji), McMaster University-Waterloo Region Campus, Ontario, Canada
MBBS, Msc
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  • For correspondence: [email protected]
Ahmad R. Tarakji
From the Neurology Unit (Alanazy, Muayqil), Department of Internal Medicine, College of Medicine, King Saud University, from the College of Medicine (Khattab, Balbaid, Al-Dawalibi, Alqarni, Hazazi), King Saud University, and from Nephrology division (Tarakji), St. George Medical Center, Kitchener, Ontario, and from the School of Medicine (Tarakji), McMaster University-Waterloo Region Campus, Ontario, Canada
MD, MSPH
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Abdullah M. Khattab
From the Neurology Unit (Alanazy, Muayqil), Department of Internal Medicine, College of Medicine, King Saud University, from the College of Medicine (Khattab, Balbaid, Al-Dawalibi, Alqarni, Hazazi), King Saud University, and from Nephrology division (Tarakji), St. George Medical Center, Kitchener, Ontario, and from the School of Medicine (Tarakji), McMaster University-Waterloo Region Campus, Ontario, Canada
MBBS
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Nasser T. Balbaid
From the Neurology Unit (Alanazy, Muayqil), Department of Internal Medicine, College of Medicine, King Saud University, from the College of Medicine (Khattab, Balbaid, Al-Dawalibi, Alqarni, Hazazi), King Saud University, and from Nephrology division (Tarakji), St. George Medical Center, Kitchener, Ontario, and from the School of Medicine (Tarakji), McMaster University-Waterloo Region Campus, Ontario, Canada
MBBS
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Ahmad M. Al-Dawalibi
From the Neurology Unit (Alanazy, Muayqil), Department of Internal Medicine, College of Medicine, King Saud University, from the College of Medicine (Khattab, Balbaid, Al-Dawalibi, Alqarni, Hazazi), King Saud University, and from Nephrology division (Tarakji), St. George Medical Center, Kitchener, Ontario, and from the School of Medicine (Tarakji), McMaster University-Waterloo Region Campus, Ontario, Canada
MBBS
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Sami A. Alqarni
From the Neurology Unit (Alanazy, Muayqil), Department of Internal Medicine, College of Medicine, King Saud University, from the College of Medicine (Khattab, Balbaid, Al-Dawalibi, Alqarni, Hazazi), King Saud University, and from Nephrology division (Tarakji), St. George Medical Center, Kitchener, Ontario, and from the School of Medicine (Tarakji), McMaster University-Waterloo Region Campus, Ontario, Canada
MBBS
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Reema A. Hazazi
From the Neurology Unit (Alanazy, Muayqil), Department of Internal Medicine, College of Medicine, King Saud University, from the College of Medicine (Khattab, Balbaid, Al-Dawalibi, Alqarni, Hazazi), King Saud University, and from Nephrology division (Tarakji), St. George Medical Center, Kitchener, Ontario, and from the School of Medicine (Tarakji), McMaster University-Waterloo Region Campus, Ontario, Canada
MBBS
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Mohammed H. Alanazy
From the Neurology Unit (Alanazy, Muayqil), Department of Internal Medicine, College of Medicine, King Saud University, from the College of Medicine (Khattab, Balbaid, Al-Dawalibi, Alqarni, Hazazi), King Saud University, and from Nephrology division (Tarakji), St. George Medical Center, Kitchener, Ontario, and from the School of Medicine (Tarakji), McMaster University-Waterloo Region Campus, Ontario, Canada
MBBS
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    Figure 1

    - Percent classified as cognitively impaired according to different cutoffs on the X-axis with both versions of the Montreal Cognitive Assessment (MoCA).

Tables

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    Table 1

    - Baseline characteristics and scores; M±SD; row percentages are provided for the variables: dialysis vintage, diabetes, ischemic heart disease, and hypertension.

    CharacteristicsHemodialysis n=56Peritoneal dialysis n=27
    n (%), M±SD
    Age51.41±15.3247.04±15.7t (81) =1.21, p=0.23
    GenderF 30 (53.6) M 26 (46.4)F 7 (25.9) M 20 (74.1)X2(1)=5.63, p=0.02
    Years of education9.72±5.911.44±4.46t (80)=-1.34, p=0.18
    Dialysis vintage (months)66.42±74.6841.04±37.88t (80)=1.66, p=0.1
    Ischemic heart disease16 (88.9)2 (11.1)X2 (1)=4.8, p=0.028
    Diabetes23 (65.7)12 (34.4)X2 (1)=0.09, p=0.77
    Hypertension46 (64.8)25 (35.2)X2 (1)=1.61, p=0.21
    MoCA-A19.96±5.74,(range 7 – 30)23.11±3.78, (range 14 – 29)t (78)=-2.57, p=0.01
    MoCA-B22.44±5.46, (range 9 – 30)25.56 (3.66), (range 16 – 29)t (75)=-2.58, p=0.01
    MoCA - Montreal Cognitive Assessment
    • View popup
    Table 2

    - Univariate and multivariate regression for both versions of the MoCA scale.

    RegressionMoCA-AMoCA-B
    Coef. (SE)t-score, p-value95% C.I.Coef. (SE)t-score, p value95% C.I.
    Univariate
    age-0.18 (0.03)-5.49, < 0.0001-0.25, -0.12-0.19 (0.03)-6.43, <0.0001-0.25, -0.13
    Years of education0.61 (0.08)7.28, < 0.00010.45, 0.780.57 (0.08)6.72, <0.00010.4, 0.74
    Dialysis Vintage0.004 (0.01)0.49, 0.624-0.01, 0.020.01(0.01)1.19, 0.24-0.01, 0.03
    Male gender2.23 (1.19)1.88, 0.064-0.13, 4.591.96 (1.17)1.68, 0.1-0.37, 4.29
    IHD-1.75 (1.46)-1.2, 0.23-4.65, 1.15-2.39 (1.46)-1.63, 0.11-5.3, 0.53
    DM-3.03 (1.17)-2.58, 0.01-5.37, -0.7-3.08 (1.14)-2.69, 0.009-5.35, -0.8
    HTN-3.4 (1.64)-2.07, 0.04-6.67, -0.13-3.41 (1.57)-2.16, 0.034-6.55, -0.27
    Peritoneal Dialysis3.15 (1.22)2.58, 0.010.72, 5.583.12 (1.21)2.58, 0.0120.71, 5.52
    Multivariate
    Age-0.1 (0.03)-3.28, 0.002-0.16, -0.04-0.12 (0.03)-4.19, <0.0001-0.18, -0.06
    Years of education0.47 (0.09)5.5, <0.00010.3, 0.640.39 (0.08)4.75, <0.00010.23, 0.55
    DM-0.12 (0.93)-0.13, 0.9-1.98, 1.74-0.37 (0.89)-0.42, 0.67-2.15, 1.39
    HTN-2.21 (1.21)-1.82, 0.07-4.62, 0.21-1.98, (1.14)-1.73, 0.09-4.3, 0.3
    Peritoneal Dialysis2.23 (0.91)2.46, 0.020.42, 4.041.97 (0.89)2.22, 0.030.21, 3.73
    DM- Diabetes Mellitus, HTN - Hypertension, IHD - Ischemic Heart Disease, MoCA - Montreal Cognitive Assessment, SE - Standard Error, CI - Confidence Interval
    • View popup
    Table 3

    - Results of each subcomponent from both MoCA scales, mean scores, and proportion of participants with a full score are displayed. N represents total participants who completed the task, n represents the number of participants who obtained a full score on a particular task, and SD: standard deviation.

    HDPDP-valueHDPDP-value
    NmeansdNmeansdnproportionnproportion
    MoCA-B
    Executive550.470.5270.740.450.02*260.47200.740.02*
    Recall552.711.71273.441.40.5690.1660.220.51
    Fluency551.20.1271.440.130.15210.38150.560.12
    Orientation525.60.11275.780.10.27380.73220.810.43
    Calculation552.021.05272.560.850.02*250.45200.740.01*
    Abstraction552.221.1272.560.80.16330.6190.70.38
    Visuospatial552.21.15272.1910.95330.6130.480.43
    Naming553.730.62273.930.270.12450.82250.930.13
    Attention552.181.07252.440.770.28280.51140.560.68
    MoCA-A
    Visual/executive542.81.67273.441.550.12120.2280.30.43
    Naming552.850.4272.960.190.19480.87260.960.21
    Recall552.351.77273.521.420.004*80.1570.260.23
    Attention553.871.96274.331.330.27140.2570.260.92
    Language551.60.83271.780.750.3580.1540.151
    Abstract541.190.73271.370.690.28200.37130.480.34
    Orientation555.360.95275.70.540.9340.62200.740.28
    MoCA - Montreal Cognitive Assessment, HD - Hemodialysis, PD - Peritoneal Dialysis
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Neurosciences Journal: 28 (2)
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Performance of dialysis patients on the standard and basic Arabic versions of the Montreal Cognitive Assessments
Taim A. Muayqil, Ahmad R. Tarakji, Abdullah M. Khattab, Nasser T. Balbaid, Ahmad M. Al-Dawalibi, Sami A. Alqarni, Reema A. Hazazi, Mohammed H. Alanazy
Neurosciences Journal Apr 2023, 28 (2) 100-107; DOI: 10.17712/nsj.2023.2.20220110

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Performance of dialysis patients on the standard and basic Arabic versions of the Montreal Cognitive Assessments
Taim A. Muayqil, Ahmad R. Tarakji, Abdullah M. Khattab, Nasser T. Balbaid, Ahmad M. Al-Dawalibi, Sami A. Alqarni, Reema A. Hazazi, Mohammed H. Alanazy
Neurosciences Journal Apr 2023, 28 (2) 100-107; DOI: 10.17712/nsj.2023.2.20220110
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