4/17/2024 0 Comments Cognitive domains assessed by moca![]() ![]() ![]() ![]() Providing memory strategies to patients is a useful way to help them improve. KEYWORDS: Chronic heart failure MMSE Montreal Cognitive Assessment cognitive impairment screening tools (2) (2)ĬONCLUSION: The MoCA, a screening tool for MCI, identified subtle but potentially clinically relevant cognitive dysfunctions with greater frequency than MMSE. In 68% of patients with low cognitive scores, visuospatial task errors were observed on tasks from the MoCA compared with 22% on a similar task of the MMSE. More task errors were observed on the MoCA cognitive domains compared with the MMSE cognitive domains. A significantly low level of agreement was found (κ=0.25, p=0.001) between the MMSE and MoCA in identifying patients with scores suggestive of MCI. The MoCA classified 38 (41%) patients as cognitively impaired that were not classified by the MMSE. RESULTS: Statistically more patients had low MoCA scores compared with low MMSE scores (66 vs. Two different parameters were examined between the MoCA and the MMSE: level of MCI agreement (Kappa coefficient) and task errors on assessed cognitive domains (χ2 test). Patients with low MoCA scores (<26) were compared to those with low MMSE scores (<27). METHODS: The MMSE and MoCA were administered to 93 hospitalized CHF patients (70☑1 years), without a history of neurocognitive problems. AIM: To compare the Montreal Cognitive Assessment (MoCA) with the Mini Mental State Exam (MMSE) in screening for MCI in CHF patients. There are limited sensitive screening measures available in nursing practice to identify mild cognitive impairment (MCI). These impairments can remain undetected unless specifically screened. (2013).Įuropean Journal of Cardiovascular NursingīACKGROUND: Cognitive impairments occur frequently in patients with chronic heart failure (CHF), resulting in worse health outcomes than expected. Screening for mild cognitive impairment in patients with heart failure: Montreal cognitive assessment versus mini mental state exam.Ĭameron J., Worrall-Carter, L., Page K., Stewart S., Ski C.F. Keywords: Heart failure, Screening, Cognitive impairment, MMSE, MoCA (1)Ģ. Both tests misclassified approximately one-third of patients, so continued monitoring and evaluation of patients is needed in conjunction with screening (1). In HF, both the MoCA and MMSE are useful in identifying the majority of patients with and without cognitive impairment. A MoCA score <25 and MMSE score of <28 yielded optimal sensitivity/specificity (.64/.66 and. Discriminant function analyses tested whether the screeners correctly detected cognitive impairment (1). Sensitivity and specificity were examined. Participants were 106 patients with HF (49.1% male, 68.13 ± 9.82 years) who completed the MoCA, MMSE, and a full neuropsychological battery. Although the MMSE and MoCA are commonly used screeners in HF, no research team has validated their performance against neuropsychological testing (1). To examine the ability of the Mini Mental Status Examination (MMSE) and Montreal Cognitive Assessment (MoCA) to detect cognitive impairment in persons with heart failure (HF) (1).īackground. Heart and Lung: The Journal of Acute and Critical Care, July 2014. The MoCA and MMSE as screeners for cognitive impairment in a heart failure population: A study with comprehensive neuropsychological testing. ![]()
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