80% of cases are also know as a 'schemic stroke', or the formation of a blood clot in a vessel supplying blood to the brain. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. The measure can be used, but is not limited to patients with stroke Also called a 'brain attack' and happens when brain cells die because of inadequate blood flow. The MoCA assesses the following cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. It was developed in response to the poor sensitivity Sensitivity refers to the probability that a diagnostic technique will detect a particular disease or condition when it does indeed exist in a patient (National Multiple Sclerosis Society). Instrument for the detection of mild cognitive impairment. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain.

The measure can be used, but is not limited to patients with stroke Also called a “brain attack” and happens when brain cells die because of inadequate blood flow. Thus, the MoCA is intended for clients with memory complaints who score within the normal range on the MMSE. Of the Mini-Mental State Examination (MMSE) in distinguishing clients with mild cognitive impairment from normal elderly clients (Nasreddine et al., 2005). The areas under the curves for the MoCA-P for detecting MCI and dementia (0.937 and 0.908, respectively) were greater than those for the MMSE (0.848 and 0.892, respectively).Ĭompared with the MMSE, the MoCA-P is significantly better for detecting MCI in the elderly, particularly in the oldest old population, and it also displays more effectiveness in detecting dementia.ĭementia Mini-Mental State Examination Montreal Cognitive Assessment elderly mild cognitive impairment oldest old.The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening Testing for disease in people without symptoms. In the three age groups (60-79, 80-89, and ≥90 years old), the optimal MoCA-P cut-off scores for detecting MCI were ≤25, ≤24, and ≤23, respectively, and for detecting dementia were ≤24, ≤21, and ≤19, respectively, which demonstrated relatively high sensitivities and specificities. Adding two points and one point to the MoCA scores for the primary and middle school groups, respectively, can fully adjust for the notable impact of education but cannot compensate for the effect of age. In a cross-sectional survey, Chinese veterans aged ≥60 years completed the MoCA-P and the Mini-Mental State Examination (MMSE).Īmong 7,445 elderly veterans, 5,085 (68.30%) were aged ≥80 years old, 2,621 (35.20%) had 6 years of education or less, 6,847 (91.97%) were male, and 2,311 (31.04%) and 984 (13.22%) veterans were diagnosed as having MCI and dementia, respectively. To provide the cut-off scores in detecting MCI and dementia of the Peking Medical Union College Hospital version of the MoCA (MoCA-P). The norms and cut-off scores for mild cognitive impairment (MCI) and dementia of the MoCA are different among five Chinese versions.

China.Īll versions of the Montreal Cognitive Assessment (MoCA) lack population-based data of 80-plus individuals. 13 Forth Cadre Department, General Hospital of Guangzhou Military Command, Guangzhou, P.R.12 First Cadre Department, Fuzhou General Hospital of Nanjing Military Command, Fuzhou, P.R.11 Department of Neurology, Chinese PLA 107 Hospital, Yantai, P.R.10 Department of Neurology, General Hospital of Lanzhou Military Command, Lanzhou, P.R.9 Department of Neurology, Chinese PLA 323 Hospital, Xi'an, P.R.8 Department of Neurology, General Hospital of Chengdu Military Command, Chengdu, P.R.7 Department of Neurology, Chinese PLA 401 Hospital, Qingdao, P.R.

6 Department of Gerontology, Changhai Hospital, Shanghai, P.R.

5 Department of Neurology, Chinese PLA 201 Hospital, Dalian, P.R.

4 Department of Gerontology, Bethune International Peace Hospital, Shijiazhuang, P.R.

3 Department of Neurology, Peking Union Medical College Hospital, Beijing, P.R.

2 Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, P.R.1 Department of Geriatric Neurology, Chinese PLA General Hospital, Beijing, P.R.

What is moca test for dementia