scholarly journals The Montreal Cognitive Assessment (MoCA-Ina) versus the Mini-Mental State Examination (MMSE-Ina) For Detecting Mild Cognitive Impairment among The Elderly

2021 ◽  
Vol 20 (1) ◽  
pp. 164-169
Author(s):  
Ida Untari ◽  
Achmad Arman Subijanto ◽  
Diah Kurnia Mirawati ◽  
Rossi Sanusi
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Medical Science ◽  
The Elderly ◽  
Rank Test ◽  
Cognitive Tests ◽  
Level Of Education ◽  
And Gender ◽  
State Examination

Background: There are many neuropsychological instruments are used for screening cognitivefunctions in adults, with or without health problems such asthe MMSE-Ina and MoCA-Ina. Objectives:This study was designed to test the correlations and differences between MMSE-Inaand MoCA-Ina for early detection of decreasing cognitive function in the elderly. Methods: Total278 subjects were randomly selected from the 17 sub dictricts of Surakarta Municipality, CentralJava, Indonesia. Data collection was carried out in December 2018 and January 2019, withallsubjects individually interviewed using two cognitive tests (which lasted 30 – 45 minutes) alongwith physical and neurological examinations. The MMSE-Ina and MoCA-Ina scores of eachparticipant were correlated using the non-parametric Spearman rank test. Both scores werecompared based on level of education and gender. Results: The MoCa-Ina detected using MCIwas 215 (77.3%) while MMSE-Ina was 189 (68%), with 176 (63.3%) in severe 10 (3.5%).This study also showed a strong correlation between the MMSE-Ina and MoCA-Ina scores (r= 0.633 p < 0.000). The cut pointin this study were 23/24 for the MMSE-Ina and 25/26 for theMoCA-Ina which was less than 23 and 25,indicated cognitive impairment. Conclusion: TheMoCA-Ina is usedto screen cognitive impairment in the elderly. Bangladesh Journal of Medical Science Vol.20(1) 2021 p.164-169

scholarly journals Application of the Mini-Mental State Examination (MMSE) Scale in Cognitive Assessment of Elderly Patients in a General Ward

2021 ◽  
Vol 5 (3) ◽  
pp. 153-157
Author(s):  
Huiling Liu ◽  
Cuiqing Liu ◽  
Chuang Hu ◽  
Xuling Li ◽  
Yahui Zhao ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Elderly Patients ◽  
Mental State ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Cognitive Status ◽  
General Ward ◽  
P Value ◽  
And Gender ◽  
State Examination

Objective: To analyze the application of the Mini-Mental State Examination (MMSE) scale in cognitive assessment of elderly patients in a general ward. Methods: Elderly patients who underwent nephrosurgery and thoracic surgery between July 2015 to June 2019 were eligible for the study. A total of 713 patients enrolled and data were collected for the assessment of cognitive status. We analyzed the relationship between cognitive impairment, degree of cognitive impairment, age, and gender. Result: In the 713 cases of cognitive ability assessment by the MMSE, there was cognitive impairment in 21 (4.04%) male patients, and 10 (5.18%) female patients. In addition, the analysis of the correlation between cognitive impairment and gender showed a P value of 0.51, which was not statistically significant. In the participants age research, the average age of the patients in the cognitive normal group was 72.30±6.50 years old, and the average age of the patients in the cognitive impairment group was 78.61±6.90 years old. Their p value was <0.0001, which was statistically significant. Conclusion: There is a correlation between cognitive impairment and age. Therefore, the MMSE helps detect cognitive impairment and potential safety hazards in elderly patients. It is convenient for medical staff to take corresponding measures in time to ensure the safety of the patients.

scholarly journals Detection of mild cognitive impairment in middle-aged and older adults with obstructive sleep apnoea

2018 ◽  
Vol 52 (5) ◽  
pp. 1801137 ◽  
Author(s):  
Katia Gagnon ◽  
Andrée-Ann Baril ◽  
Jacques Montplaisir ◽  
Julie Carrier ◽  
Sirin Chami ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Obstructive Sleep Apnoea ◽  
Mental State ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Sleep Apnoea ◽  
Screening Tests ◽  
Obstructive Sleep ◽  
State Examination

Obstructive sleep apnoea increases the risk for mild cognitive impairment and dementia. The present study aimed to characterise the ability of two cognitive screening tests, the Mini-Mental State Examination and the Montreal Cognitive Assessment, to detect mild cognitive impairment in adults aged 55–85 years with and without obstructive sleep apnoea.We included 42 subjects with mild and 67 subjects with moderate-to-severe obstructive sleep apnoea. We compared them to 22 control subjects. Mild cognitive impairment was diagnosed by a comprehensive neuropsychological assessment. We used receiver operating characteristic curves to assess the ability of the two screening tests to detect mild cognitive impairment.The two screening tests showed similar discriminative ability in control subjects. However, among the mild and the moderate-to-severe obstructive sleep apnoea groups, the Mini-Mental State Examination was not able to correctly identify subjects with mild cognitive impairment. The Montreal Cognitive Assessment's discriminant ability was acceptable in both sleep apnoea groups and was comparable to what was observed in controls.The Mini-Mental State Examination should not be used to screen for cognitive impairment in patients with obstructive sleep apnoea. The Montreal Cognitive Assessment could be used in clinical settings. However, clinicians should refer patients for neuropsychological assessment when neurodegenerative processes are suspected.

Prestroke Physical Activity and Poststroke Cognitive Performance

2020 ◽  
Vol 49 (6) ◽  
pp. 632-638
Author(s):  
Andreas Gammelgaard Damsbo ◽  
Janne Kaergaard Mortensen ◽  
Kristian Lundsgaard Kraglund ◽  
Søren Paaske Johnsen ◽  
Grethe Andersen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cognitive Impairment ◽  
Functional Outcome ◽  
Cognitive Performance ◽  
Mini Mental State Examination ◽  
The Elderly ◽  
Protective Measure ◽  
Multivariable Analyses ◽  
State Examination ◽  
Physical Activity Scale

<b><i>Introduction:</i></b> Physical activity (PA) is associated with a lower risk of stroke and stroke mortality as well as a favorable stroke outcome. PA may also prevent general cognitive decline. Poststroke cognitive impairment is both common and disabling, and focusing on all possible preventive measures is important. Studies on the effect of PA on poststroke cognitive performance are sparse, however. We therefore aimed to examine the association between prestroke PA and poststroke cognitive performance. <b><i>Methods:</i></b> We studied the correlation between prestroke PA and poststroke cognitive performance in a prespecified analysis in The Efficacy of Citalopram Treatment in Acute Ischemic Stroke (TALOS) trial. We used the Physical Activity Scale for the Elderly (PASE) to collect information on PA during the 7-day period before stroke. PA was quantified, and patients were stratified into quartiles based on their PASE score. Cognitive performance was measured using the Symbol Digit Modalities Test (SDMT) at 1 and 6 months and the Mini-Mental State Examination (MMSE) at 6 months. The functional outcome was assessed using the modified Rankin Scale (mRS). <b><i>Results:</i></b> In total, 625 of 642 patients (97%) completed the PASE questionnaire. The median age was 69 (interquartile range [IQR]: 60–77), and the median PASE score was 137 (82–205). Higher prestroke PASE quartiles (2nd, 3rd, and 4th, each compared to the 1st) were independently associated with a higher SDMT score at 1 month in the both the univariable and multivariable analyses (2nd: 3.99 points, 95% confidence interval [CI]: 1.01–6.97; 3rd: 3.6, CI: 0.6–6.61; 4th: 4.1, CI: 0.95–7.24). This association remained at 6 months. PA was not statistically associated with the MMSE score or mRS. <b><i>Conclusion:</i></b> Higher prestroke PA was associated with a better cognitive performance as measured by the SDMT at 1 and 6 months poststroke. We found no significant association between prestroke PA and functional outcome. Our results are encouraging and support further investigations of PA as a protective measure against poststroke cognitive impairment.

Improving precision in the quantification of cognition using the Montreal Cognitive Assessment and the Mini-Mental State Examination

2011 ◽  
Vol 23 (7) ◽  
pp. 1107-1115 ◽  
Author(s):  
Lisa Koski ◽  
Haiqun Xie ◽  
Susanna Konsztowicz
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Ability ◽  
Mental State ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Montreal Cognitive Assessment ◽  
Word Repetition ◽  
Highly Sensitive ◽  
Changes Over Time ◽  
State Examination

ABSTRACTBackground: The Montreal Cognitive Assessment (MoCA) can be used to quantify cognitive ability in older persons undergoing screening for cognitive impairment. Although highly sensitive in detecting mild cognitive impairment, its measurement precision is weakest among persons with milder forms of impairment. We sought to overcome this limitation by integrating information from the Mini-Mental State Examination (MMSE) into the calculation of cognitive ability.Methods: Data from 185 geriatric outpatients screened for cognitive impairment with the MoCA and the MMSE were Rasch analyzed to evaluate the extent to which the MMSE items improved measurement precision in the upper ability ranges of the population.Results: Adding information from the MMSE resulted in a 13.8% (13.3–14.3%) reduction in measurement error, with significant improvements in all quartiles of patient ability. The addition of three-word repetition and recall, copy pentagons, repeat sentence, and write sentence improved measurement of cognition in the upper levels of ability.Conclusions: The algorithm presented here maximizes the yield of available clinical data while improving measurement of cognitive ability, which is particularly important for tracking changes over time in patients with milder levels of impairment.

scholarly journals PERFORMANCE IN COGNITIVE TESTS AND SUBJECTIVE PERCEPTION OF THE MEMORY IN INDIVIDUALS FROM RECIFE-PE

2021 ◽  
Author(s):  
Talita Plácido ◽  
Pedro Rocha Filho ◽  
Mário Silva Júnior
Keyword(s):  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Subjective Perception ◽  
Cognitive Tests ◽  
Subjective Memory ◽  
Self Assessment ◽  
Cross Sectional ◽  
Spss Software ◽  
Low Performance ◽  
State Examination

Introduction: Currently, there is a discussion about how subjective memory perception can predict performance in cognitive tests. Objective: To correlate the subjective perception of memory with performance in cognitive tests Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA). Methods: Cross-sectional, descriptive study with 28 participants without cognitive complaints. People aged 40 years or more and at least four years of schooling were included. Participants were asked about their subjective perception of memory and then submitted to cognitive tests. Data were analyzed using SPSS software (v.23). Results: The population consisted of female individuals (89.3%), a mean age of 58.9 years (SD=±9.6), education of 11.9 years (SD=±4.4). As for the perception of memory, 53,5% of the individuals classified it as neutral, of which 7.1% had a score greater than or equal to 26 points in the MoCA, while 57.1% scored 24 or more in the MMSE. Also, 43,5% rated memory positively and, among them, 92.9% scored well on the MMSE, while only 28.7% had good performance on the MoCA. This self-assessment was correlated with MoCA performance (χ2=10.38; p=0.001). Conclusion: The subjective perception of memory was correlated with the performance of participants in the MoCA. Individuals with good perceptions had predominantly low performance on the tool.

scholarly journals Montreal Cognitive Assessment scale in patients with Parkinson Disease with normal scores in the Mini-Mental State Examination

2019 ◽  
Vol 13 (1) ◽  
pp. 78-81 ◽  
Author(s):  
Krisly Arguedas Vásquez ◽  
Erick Miranda Valverde ◽  
Daniel Valerio Aguilar ◽  
Henri-Jacques Hernández Gabarain
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Impairment ◽  
Mental State ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Montreal Cognitive Assessment ◽  
Screening Tests ◽  
Study Results ◽  
State Examination

ABSTRACT. Several screening tests have been used for cognitive evaluation in Parkinson’s disease (PD). Objective: To evaluate the usefulness of the Montreal Cognitive Assessment (MoCA) in patients with Parkinson’s disease and no cognitive impairment complaints. Methods: A total of 40 PD patients with no complaints of cognitive problems were included. Patients were selected using the Mini-Mental State Examination (MMSE) and the MoCA was then administered. Results: 80% of patients exhibited Mild Cognitive Impairment (MCI) according to the MoCA. Statistically significant differences in visuospatial, attention and delayed recall functions were evident between the normal and abnormal MoCA groups. Conclusion: The study results suggest that MoCA may be a good screening test in patients with PD who do not present cognitive complaints.

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