![]() ![]() The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE. The MOCA is used for detection of Mild Cognitive Impairment in multiple conditions including MCI/Alzheimers Disease, Vascular Cognitive. MCI as an entity is evolving and somewhat controversial. Several modifications were made with regards to the scor-ing of these items. The stimuli of 4 test items remained the same in the MoCA 5-minute protocol. ![]() Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively). MoCA 5-minute protocol was derived from the Hong Kong version of the MoCA.5 These items are selected for domain specificity for VCI, brevity, and feasibility for administration over the telephone. Montreal Cognitive Assessment (MoCA) score is a brief assessment tool of global cognitive function which was originally designed for early detection of mild cognitive deficits in patients with Alzheimer disease7 which has been subsequently validated in different cohorts. In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. This study aims to evaluate the Montreal Cognitive Assessment (MoCA) as a screening. Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD. Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score > or =17), and 90 healthy elderly controls (NC). To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia.Ī community clinic and an academic center.
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