The validity of the Montreal cognitive assessment (MoCA) for the screening of vascular cognitive impairment after ischemic stroke

2020 ◽  
Vol 120 (3) ◽  
pp. 681-685 ◽  
Author(s):  
Jure Potocnik ◽  
Klavdija Ovcar Stante ◽  
Martin Rakusa
Keyword(s):  
Ischemic Stroke ◽  
Cognitive Impairment ◽  
Cognitive Assessment ◽  
Vascular Cognitive Impairment ◽  
Montreal Cognitive Assessment

scholarly journals Methods for Improving Screening for Vascular Cognitive Impairment Using the Montreal Cognitive Assessment

2020 ◽  
Vol 47 (6) ◽  
pp. 756-763 ◽  
Author(s):  
Khush-Bakht Zaidi ◽  
Jill B. Rich ◽  
Kelly M. Sunderland ◽  
Malcolm A. Binns ◽  
Linda Truong ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Processing Speed ◽  
Cognitive Assessment ◽  
Roc Curves ◽  
Vascular Cognitive Impairment ◽  
Cognitive Status ◽  
Montreal Cognitive Assessment ◽  
Cut Points ◽  
Post Stroke ◽  
Speed Measure

ABSTRACT:Background:Vascular cognitive impairment (VCI) post-stroke is frequent but may go undetected, which highlights the need to better screen cognitive functioning following a stroke.Aim:We examined the clinical utility of the Montreal Cognitive Assessment (MoCA) in detecting cognitive impairment against a gold-standard neuropsychological battery.Methods:We assessed cognitive status with a comprehensive battery of neuropsychological tests in 161 individuals who were at least 3-months post-stroke. We used receiver operating characteristic (ROC) curves to identify two cut points for the MoCA to maximize sensitivity and specificity at a minimum 90% threshold. We examined the utility of the Symbol Digit Modalities Test, a processing speed measure, to determine whether this additional metric would improve classification relative to the MoCA total score alone.Results:Using two cut points, 27% of participants scored ≤ 23 and were classified as high probability of cognitive impairment (sensitivity 92%), and 24% of participants scored ≥ 28 and were classified as low probability of cognitive impairment (specificity 91%). The remaining 48% of participants scored from 24 to 27 and were classified as indeterminate probability of cognitive impairment. The addition of a processing speed measure improved classification for the indeterminate group by correctly identifying 65% of these individuals, for an overall classification accuracy of 79%.Conclusions:The utility of the MoCA in detecting cognitive impairment post-stroke is improved when using a three-category approach. The addition of a processing speed measure provides a practical and efficient method to increase confidence in the determined outcome while minimally extending the screening routine for VCI.

scholarly journals Effectiveness of Gotu Kola Extract 750 mg and 1000 mg Compared with Folic Acid 3 mg in Improving Vascular Cognitive Impairment after Stroke

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Kun Marisa Farhana ◽  
Rusdy Ghazali Malueka ◽  
Samekto Wibowo ◽  
Abdul Gofir
Keyword(s):  
Cognitive Impairment ◽  
Folic Acid ◽  
Cognitive Function ◽  
Experimental Design ◽  
Cognitive Assessment ◽  
Centella Asiatica ◽  
Vascular Cognitive Impairment ◽  
Montreal Cognitive Assessment ◽  
Significant Difference ◽  
Quasi Experimental

This study aimed to determine the effectiveness of gotu kola (Centella asiatica) in improving cognitive function in patients with vascular cognitive impairment (VCI). This study uses a quasi-experimental design. Subjects in this study were patients with poststroke cognitive impairment who were treated at two hospitals in Yogyakarta, Indonesia. The number of subjects was 48: 17 subjects were treated with 1000 mg/day of gotu kola extract, 17 subjects treated with 750 mg/day of gotu kola extract, and 14 subjects treated with 3 mg/day of folic acid for 6 weeks. A Montreal Cognitive Assessment-Indonesian version (MoCA-Ina) was conducted at the beginning of treatment and after 6 weeks of therapy. It was found that all trials effectively improved poststroke VCI based on MoCA-Ina scores over the course of the study. There is no significant difference in ΔMoCA-Ina (score at the 6th week of treatment − score at the beginning) mean score among the three groups, indicating that gotu kola is as effective as folic acid in improving poststroke VCI. Gotu kola was shown to be more effective than folic acid in improving memory domain. This study suggested that gotu kola extract is effective in improving cognitive function after stroke.

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