The SAGE test, developed by Ohio State University researcher Douglas Scharre, is an important tool for detecting early signs of dementia. We found that both the total MoCA score and index scores were better at distinguishing these diagnostic groups from a cognitively normal control group. To compare the accuracy of the MoCA and MMSE, we administered the 7.1 version of the MoCA to patients with diagnostic amnestic dementia of the Alzheimer’s type (DAT) and primary progressive aphasia (PPA). It is also useful for identifying people who may be at risk of developing Parkinson’s disease, vascular cognitive impairment, or Huntington’s disease. The test is a good tool for detecting early dementia. The MoCA assesses a person’s memory, executive functioning, attention, language, visuospatial, and orientation skills. MoCA takes about 10 minutes to administer. The Montreal Cognitive Assessment (MoCA) is a simple test designed to detect mild cognitive impairment in elders scoring in the normal range on the Mini-Mental State Examination (MMSE). Also, a person’s education level should be taken into account when using the test. The test can be used to monitor a patient’s progress over time and identify which drugs may slow down the progression of the disease.Īlthough the MMSE is a valid test, it cannot replace a comprehensive mental status examination and should be used in conjunction with other medical and screening tests when diagnosing dementia. The test consists of a series of questions designed to measure a patient’s mental function.Ī score of 24 or more is considered normal and a score below this indicates mild cognitive impairment or dementia. The areas under the curves for the MoCA-P for detecting MCI and dementia (0.937 and 0.908, respectively) were greater than those for the MMSE (0.848 and 0.892, respectively).Ĭompared with the MMSE, the MoCA-P is significantly better for detecting MCI in the elderly, particularly in the oldest old population, and it also displays more effectiveness in detecting dementia.ĭementia Mini-Mental State Examination Montreal Cognitive Assessment elderly mild cognitive impairment oldest old.The Mini-Mental State Examination (MMSE) is one of the most widely used tests to screen for dementia. In the three age groups (60-79, 80-89, and ≥90 years old), the optimal MoCA-P cut-off scores for detecting MCI were ≤25, ≤24, and ≤23, respectively, and for detecting dementia were ≤24, ≤21, and ≤19, respectively, which demonstrated relatively high sensitivities and specificities. Adding two points and one point to the MoCA scores for the primary and middle school groups, respectively, can fully adjust for the notable impact of education but cannot compensate for the effect of age. In a cross-sectional survey, Chinese veterans aged ≥60 years completed the MoCA-P and the Mini-Mental State Examination (MMSE).Īmong 7,445 elderly veterans, 5,085 (68.30%) were aged ≥80 years old, 2,621 (35.20%) had 6 years of education or less, 6,847 (91.97%) were male, and 2,311 (31.04%) and 984 (13.22%) veterans were diagnosed as having MCI and dementia, respectively. To provide the cut-off scores in detecting MCI and dementia of the Peking Medical Union College Hospital version of the MoCA (MoCA-P). The norms and cut-off scores for mild cognitive impairment (MCI) and dementia of the MoCA are different among five Chinese versions. China.Īll versions of the Montreal Cognitive Assessment (MoCA) lack population-based data of 80-plus individuals. 13 Forth Cadre Department, General Hospital of Guangzhou Military Command, Guangzhou, P.R.12 First Cadre Department, Fuzhou General Hospital of Nanjing Military Command, Fuzhou, P.R.11 Department of Neurology, Chinese PLA 107 Hospital, Yantai, P.R.10 Department of Neurology, General Hospital of Lanzhou Military Command, Lanzhou, P.R.9 Department of Neurology, Chinese PLA 323 Hospital, Xi'an, P.R. ![]() 8 Department of Neurology, General Hospital of Chengdu Military Command, Chengdu, P.R.7 Department of Neurology, Chinese PLA 401 Hospital, Qingdao, P.R.6 Department of Gerontology, Changhai Hospital, Shanghai, P.R.5 Department of Neurology, Chinese PLA 201 Hospital, Dalian, P.R.4 Department of Gerontology, Bethune International Peace Hospital, Shijiazhuang, P.R.3 Department of Neurology, Peking Union Medical College Hospital, Beijing, P.R.2 Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, P.R.1 Department of Geriatric Neurology, Chinese PLA General Hospital, Beijing, P.R.
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