Abstract
Introduction:The Addenbrooke's Cognitive Examination III (ACE-III) (2012) is a brief cognitive battery that assesses five sub-domains of cognition (attention and orientation, memory, verbal fluency, language, and visuospatial abilities) which are commonly impaired in dementia.Objective:We aimed to validate the Egyptian-Arabic ACE-III in dementia patients, and to provide cut-off scores for the ACE-III in diagnosing dementia in Egyptian-Arabic speakers.Methods:We included 37 patients with dementia (Alzheimer's disease,n= 25, vascular dementia,n= 8, and dementia with Lewy bodies,n= 4) and 43 controls.Results:There was a statistically significant difference (p< 0.001) in the total ACE-III score between dementia patients (mean 49.81 +/- 18.58) and controls (mean 84.84 +/- 6.36). There was also a statistically significant difference between dementia patients and controls in all sub-score domains of the ACE-III (p< 0.001). Using a receiver operator characteristic curve, the optimal cut-off score for dementia on the ACE-III total score was 72, (89% sensitivity, 95% specificity, 92% accuracy).Conclusions:The results of this study provide objective validation of the Egyptian-Arabic version of the ACE-III as a screening tool for dementia, with high sensitivity, specificity, and accuracy comparable to other translated versions of the ACE-III.