Evaluation of Vascular Cognitive Impairment Using the ICMR-Neuro Cognitive Tool Box (ICMR-NCTB) in a Stroke Cohort from India Article Swipe
Subhash Kaul
,
Sheetal Goyal
,
Avanthi Paplikar
,
Feba Varghese
,
Suvarna Alladi
,
Ramshekhar N. Menon
,
Meenakshi Sharma
,
R S Dhaliwal
,
Amitabha Ghosh
,
Jwala Narayanan
,
Ashima Nehra
,
Manjari Tripathi
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.4103/aian.aian_755_22
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.4103/aian.aian_755_22
Background and Purpose: Vascular cognitive impairment (VCI) presents with a spectrum of cognitive impairment due to stroke and poses a huge socioeconomic burden especially in low middle-income countries. There is a critical need for early recognition and identification of VCI patients. Therefore, we developed and validated culturally appropriate neuropsychological instruments, the ICMR-Neuro Cognitive Tool-Box (ICMR-NCTB) and Montreal Cognitive Assessment (MoCA) to diagnose vascular MCI and dementia in the Indian context. Methods: A total of 181 participants: 59 normal cognition, 25 stroke with normal cognition, 46 vascular MCI (VaMCI) and 51 vascular dementia (VaD) were recruited for the study. The ICMR-NCTB and MoCA were administered to patients with VCI and major cognitive domains were evaluated. Results: The ICMR-NCTB was found to have good internal reliability in VaMCI and VaD. The sensitivity of the ICMR-NCTB to detect VaMCI and VaD ranged from 70.8% to 72.9% and 75.9% to 79.7%, respectively, and the specificity for VaMCI and VaD ranged from 84.8% to 86.1% and 82.5% to 85.2%, respectively. The MoCA had excellent sensitivity and specificity to detect VaMCI and VaD at ideal cut-off scores. Conclusion: The ICMR-NCTB is a valid neuropsychological toolbox that can be used for comprehensive cognitive assessment and diagnosis of VCI in India. In addition, the Indian version of MoCA is more adept as a screening instrument to detect VCI due to its high sensitivity. The ICMR-NCTB will aid in early detection and management of many patients, thereby reducing the burden of vascular MCI and dementia in India.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4103/aian.aian_755_22
- OA Status
- diamond
- Cited By
- 3
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4324020372
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4324020372Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4103/aian.aian_755_22Digital Object Identifier
- Title
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Evaluation of Vascular Cognitive Impairment Using the ICMR-Neuro Cognitive Tool Box (ICMR-NCTB) in a Stroke Cohort from IndiaWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
-
2022-11-01Full publication date if available
- Authors
-
Subhash Kaul, Sheetal Goyal, Avanthi Paplikar, Feba Varghese, Suvarna Alladi, Ramshekhar N. Menon, Meenakshi Sharma, R S Dhaliwal, Amitabha Ghosh, Jwala Narayanan, Ashima Nehra, Manjari TripathiList of authors in order
- Landing page
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https://doi.org/10.4103/aian.aian_755_22Publisher landing page
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
- OA URL
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https://doi.org/10.4103/aian.aian_755_22Direct OA link when available
- Concepts
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Medicine, Cognitive impairment, Cohort, Stroke (engine), Cognition, Cohort study, Physical medicine and rehabilitation, Psychiatry, Internal medicine, Mechanical engineering, EngineeringTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2025: 1, 2024: 1, 2023: 1Per-year citation counts (last 5 years)
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32Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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