![]() ![]() A cognitive assessment, along with a good history, physical exam, and appropriate labs and imaging, can establish a diagnosis or decide if further evaluation is necessary. Mental status screens are short, efficient, and well-researched modalities designed to evaluate multiple cognitive domains. Most clinicians will use an established mental status screening tool such as the Mini-Mental Status Exam (MMSE) or Montreal Cognitive Assessment (MoCA) to determine if cognitive impairment is present. Available assessment tools range from those designed to evaluate a single neuropsychological domain, to mental status screens that survey multiple neuropsychological domains, to the most extensive test- a complete neuropsychological exam that assesses each neuropsychological domain. ![]() Each is carefully constructed to evaluate neuropsychological domains such as memory, language, executive function, abstract reasoning, attention, and visuospatial skills. There are many established tools used to conduct cognitive assessments. This detailed investigation of cognition can diagnose major cognitive impairment (i.e., dementia) and mild cognitive impairment, evaluate traumatic brain injuries, help determine decision-making capacity, and survey intellectual dysfunction. ![]() However, when cognitive impairment is suspected, the cognitive assessment can obtain a more detailed analysis by surveying the neuropsychological domains. Psychiatrists often perform cognitive testing during the Mental Status Exam. 2015 63(12):2550–2554.The cognitive assessment is useful to test for cognitive impairment-a deficiency in knowledge, thought process, or judgment. The Montreal Cognitive Assessment-Basic: A Screening Tool for Mild Cognitive Impairment in Illiterate and Low-Educated Elderly Adults. Julayanont P, Tangwongchai S, Hemrungrojn S, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Nasreddine ZS, Phillips NA, Bédirian V, et al. Montreal cognitive assessment in detecting cognitive impairment in Chinese elderly individuals: a population-based study. Montreal Cognitive Assessment: influence of sociodemographic and health variables. Montreal cognitive assessment: validation study for mild cognitive impairment and Alzheimer disease. MoCA-BC is an effective cognitive test to distinguish between NC, MCI, mild and moderate AD among the Chinese elderly with various levels of education.Īlzheimer’s disease Montreal Cognitive Assessment cutoff study mild cognitive impairment.įreitas S, Simões MR, Alves L, Santana I. For discrimination among MCI, mild and moderate AD, the MoCA-BC-T and MoCA-BC-NM had similar performance. For MCI screening, the total score of MoCA-BC (MoCA-BC-T) and MoCA-BC-MIS had similar high sensitivity and specificity. MoCA-BC was an effective cognitive tool to discriminate among NC, MCI, mild and moderate AD in the Chinese elderly across all education groups, implying that it was efficient not only for detecting MCI, but for different severities of AD as well. Two subtests were calculated from MoCA-BC: the Memory Index Score of MoCA-BC (MoCA-BC-MIS) and the Non-memory Index Score of MoCA-BC (MoCA-BC-NM). There was a total of 1,969 participants: individuals with MCI (n=663), mild (n=345), moderate (n=441) AD, and cognitively NC (n=520) were recruited from the Memory Clinic, Huashan Hospital, Shanghai, China.īaseline MoCA-BC scores were collected from firsthand data. To find out whether the Chinese version of Montreal Cognitive Assessment Basic (MoCA-BC) and its subtests could be applied in discrimination among cognitively normal controls (NC), mild cognitive impairment (MCI), mild and moderate Alzheimer's Disease (AD), and furthermore, to determine the optimal cutoffs most sensitive to distinguish between them. ![]()
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