scholarly journals Investigation of Cognitive Improvement in Alcohol-Dependent Inpatients Using the Montreal Cognitive Assessment (MoCA) Score

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Stéphanie Pelletier ◽  
Bertrand Nalpas ◽  
Régis Alarcon ◽  
Hélène Rigole ◽  
Pascal Perney
Keyword(s):  
Cognitive Assessment ◽  
Montreal Cognitive Assessment ◽  
Cognitive Improvement ◽  
Score Improvement ◽  
Alcohol Abstinence ◽  
Alcohol Detoxification ◽  
Moca Score ◽  
Abstinence Period ◽  
Alcohol Dependent

Background. Cognitive dysfunction is a common feature in alcohol use disorders. Its persistence following alcohol detoxification may impair quality of life and increase the risk of relapse. We analyzed cognitive impairment changes using the Montreal Cognitive Assessment (MoCA) score in a large sample of alcohol-dependent inpatients hospitalized for at least 4 weeks. Method. This was an observational longitudinal survey. Inclusion criteria were alcohol dependence (DSM-IV) and alcohol abstinence for at least one week. The MoCA test was administered on admission and at discharge. Results. 236 patients were included. The mean MoCA score significantly increased from 22.1±3.7 on admission to 25.11±3.12 at discharge. The corresponding effect-size of improvement was high, 1.1 [95% CI 1.0–1.2]. The degree of improvement was inversely correlated with the baseline MoCA score. The rate of high and normal, that is, >26, MoCA values increased from 15.8% on admission to 53.8% at discharge. MoCA score improvement was not correlated with the total length of abstinence prior to admission. Conclusion. The MoCA score seems to be a useful tool for measuring changes in cognitive performance in alcohol-dependent patients. A significant improvement in cognitive function was observed whatever the degree of impairment on admission and even after a long abstinence period.

scholarly journals Montreal Cognitive Assessment in a 63- to 65-year-old Norwegian Cohort from the General Population: Data from the Akershus Cardiac Examination 1950 Study

2017 ◽  
Vol 7 (3) ◽  
pp. 318-327 ◽  
Author(s):  
Håkon Ihle-Hansen ◽  
Thea Vigen ◽  
Trygve Berge ◽  
Gunnar Einvik ◽  
Dag Aarsland ◽  
...  
Keyword(s):  
Higher Education ◽  
General Population ◽  
Cognitive Assessment ◽  
Population Data ◽  
Montreal Cognitive Assessment ◽  
Cross Sectional ◽  
Normal Cognitive Function ◽  
The Mean ◽  
The Impact ◽  
Moca Score

Aims: To investigate Montreal Cognitive Assessment (MoCA) test scores in a cohort aged 63–65 years from a general population in relation to the proposed cut-off score of 26 for mild cognitive impairment (MCI) and to explore the impact of education. Methods: MoCA scores were assessed in the Akershus Cardiac Examination 1950 Study, a cross-sectional cohort study of all men and women born in 1950 living in Akershus County, Norway. The participants were aged 63–65 at the time of data collection. Results: MoCA scores were available in 3,413 participants, of which 47% had higher education (>12 years). The mean MoCA score was 25.3 (95% confidence interval [CI] 25.2–25.4), and 49% had a score below the suggested cut-off of 26 points. Those with higher education had significantly higher scores (mean 26.2, 95% CI 26.1–26.3 vs. 24.4, 95% CI 24.3–24.6, p < 0.001). Conclusions: Approximately 50% scored below the cut-off score of 26 points, suggesting that the cut-off score may have been set too high to distinguish normal cognitive function from MCI. Educational level had a significant impact on MoCA scores.

Validity of the MemTrax Memory Test Compared to the Montreal Cognitive Assessment in the Detection of Mild Cognitive Impairment and Dementia due to Alzheimer’s Disease in a Chinese Cohort

2021 ◽  
pp. 1-11
Author(s):  
Xiaolei Liu ◽  
Xinjie Chen ◽  
Xianbo Zhou ◽  
Yajun Shang ◽  
Fan Xu ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Cognitive Assessment ◽  
Area Under The Curve ◽  
Memory Test ◽  
Montreal Cognitive Assessment ◽  
Chinese Cohort ◽  
Moca Score

Background: A valid, reliable, accessible, engaging, and affordable digital cognitive screen instrument for clinical use is in urgent demand. Objective: To assess the clinical utility of the MemTrax memory test for early detection of cognitive impairment in a Chinese cohort. Methods: The 2.5-minute MemTrax and the Montreal Cognitive Assessment (MoCA) were performed by 50 clinically diagnosed cognitively normal (CON), 50 mild cognitive impairment due to AD (MCI-AD), and 50 Alzheimer’s disease (AD) volunteer participants. The percentage of correct responses (MTx-% C), the mean response time (MTx-RT), and the composite scores (MTx-Cp) of MemTrax and the MoCA scores were comparatively analyzed and receiver operating characteristic (ROC) curves generated. Results: Multivariate linear regression analyses indicated MTx-% C, MTx-Cp, and the MoCA score were significantly lower in MCI-AD versus CON and in AD versus MCI-AD groups (all with p≤0.001). For the differentiation of MCI-AD from CON, an optimized MTx-% C cutoff of 81% had 72% sensitivity and 84% specificity with an area under the curve (AUC) of 0.839, whereas the MoCA score of 23 had 54% sensitivity and 86% specificity with an AUC of 0.740. For the differentiation of AD from MCI-AD, MTx-Cp of 43.0 had 70% sensitivity and 82% specificity with an AUC of 0.799, whereas the MoCA score of 20 had 84% sensitivity and 62% specificity with an AUC of 0.767. Conclusion: MemTrax can effectively detect both clinically diagnosed MCI and AD with better accuracy as compared to the MoCA based on AUCs in a Chinese cohort.

scholarly journals Assessment of cognitive dysfunction using the Montreal Cognitive Assessment test: rate, severity and comparison with the Clock test alone in a population of patients referred for TAVI

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
C Monnin ◽  
M Besutti ◽  
F Ecarnot ◽  
B Guillon ◽  
M Chatot ◽  
...  
Keyword(s):  
Cognitive Dysfunction ◽  
Cognitive Assessment ◽  
Rating Scale ◽  
Montreal Cognitive Assessment ◽  
Routine Practice ◽  
Clock Drawing Test ◽  
Transcatheter Aortic Valve ◽  
The Mean ◽  
Time Required ◽  
Moca Score

Abstract Background Although not recommended in routine practice, the detection and quantification of Cognitive Dysfunction (CD) in older patients might have an impact on clinical decisions. We assessed the rate and severity of CD in an unselected population of patients referred for Transcatheter Aortic Valve Implantation (TAVI) using the Montreal Cognitive Assessment (MoCA) and using the Clock Drawing Test (ClockT) alone. Methods The MoCA was performed before TAVI by an experienced operator. The ClockT was scored out of 10 points according to the Rouleau rating scale. CD was defined according to the MoCA score: No CD if score ≥26, mild CD if score 18–25, moderate if 10–17 and severe if &lt;10. Inter-observer reliability of scoring on the ClockT was estimated with the Bland-Altman method. Agreement between MoCA scores and the ClockT for ruling out and for detecting CD were measured with the Kappa coefficient. Results MoCA was performed in 83 consecutive patients referred for TAVI, median age 85 years. The mean time required for assessment was 11±2 min for the MoCA and 3±2 min for the ClockT. The mean MoCA score was 21±4.5: CD was excluded in 17 (20%) pts, mild CD was found in 50 (60%), moderate in 15 (18%) and severe in one (1%). The median ClockT score was 8 (interquartile 6; 9), with excellent inter-observer concordance (Kappa= 0.84). Overall, 51% of the variance of the MoCA score was explained by the ClockT alone according to multiple regression. A ClockT &lt;7 detected a group with significantly lower MoCA score, compared to pts with higher ClockT scores (figure). Conclusion Among patients referred for TAVI, CD can be excluded using the MoCA test in 20%, while moderate or severe CD is observed in 18%. The ClockT alone is faster to implement, reliable to interpret and enabled detection of patients with moderate CD when Rouleau scoring was &lt;7. Funding Acknowledgement Type of funding sources: None.

scholarly journals Model of personalized non-pharmacological program of cognitive disorder correction in patients with epilepsy and the assessment of its efficacy

2021 ◽  
Vol 11 (2) ◽  
pp. 208-221
Author(s):  
I. Blazhyna
Keyword(s):  
Quality Of Life ◽  
Cognitive Training ◽  
Cognitive Functions ◽  
Cognitive Assessment ◽  
Montreal Cognitive Assessment ◽  
Depression Symptoms ◽  
Statistical Research ◽  
Quality Of Life Scale ◽  
Patients With Epilepsy

Cognitive dysfunction shows higher incidence in people, suffering from epilepsy, than in general population and most likely they are related to common patho-biological processes. The use of medication in patients with epilepsy for treating cognitive functions is limited due to the potential risk of more frequent seizures. Therefore, non-pharmacological methods of cognitive correction are becoming especially important for this category of patients.Aim. The aim of the research is to study the specifics of non-dementia cognitive disorders in patients with epilepsy and to develop a set of activities for their prevention and non-pharmacological correction.Materials and methods. The study included 146 patients (61 women and 85 men), their average age was 40,73. We applied clinical anamnestic, sociodemographic, clinical-psychopathological, psycho-diagnostic and statistical research methods. The following psycho-diagnostic techniques were used: Montreal Cognitive Assessment (MoCA), Munsterberg test, MiniMult test, Hamilton depression and anxiety rating scales (HRDS, HARS) and the quality of life scale. 63 patients completed a 3-month computerized online cognitive training with daily sessions, out of which 33 patients also participated in psychoeducational activities.Results. The findings of studying patients with epilepsy using the Montreal Cognitive Assessment (MoCA) showed low levels of all parameters while the total score in the patients with epilepsy with cognitive non-dementia disorders was 20,72 versus27,36 in healthy persons; the analysis of HRDS, HARS showed high anxiety and depression symptoms levels, lower quality of life level was also observed, the average indicator was 69,45, whereas in the control group the level of life quality was 78,60. There was marked adherence to cognitive training in the patients with epilepsy compared to the healthy group.Conclusion. Reliable improvement of cognitive functioning was found in the patients under consideration after 3 months of the training. The computerized cognitive functions training in current conditions showed its benefits owing to the opportunity to complete it online. It may be advised to be introduced as a part of the social rehabilitation system for patients with epilepsy, who have cognitive non-dementia disorders.

Quality of Movement Is Associated With Cognitive Function in Physically Inactive Older Women

2020 ◽  
pp. 1-6
Author(s):  
Andressa Crystine da Silva Sobrinho ◽  
Mariana Luciano de Almeida ◽  
Vagner Ramon Rodrigues Silva ◽  
Guilherme da Silva Rodrigues ◽  
Karine Pereira Rodrigues ◽  
...  
Keyword(s):  
Older Adults ◽  
Older Women ◽  
Cognitive Assessment ◽  
Montreal Cognitive Assessment ◽  
Functional Movement Screen ◽  
Functional Movement ◽  
Visuospatial Abilities ◽  
Quality Of Movement ◽  
Physically Inactive

The relationship between the quality of movement, considering different global and universal basic patterns of movement and cognition domains in older adults remain unclear. The current study explored this association in physically inactive older women. In total, 187 participants, aged 60–70 years (mean = 64.9, SD = 6.9 years), were recruited from a physical education program in a public university. The older adults performed the following tests: Functional Movement Screen, Montreal Cognitive Assessment, and Modified Baecke Questionnaire for the Older Adults. The regression analysis showed an association between age (β = −0.11, 95% confidence interval, CI, [−0.10, 0.30], p = .03); visuospatial abilities (β = 0.36, 95% CI [0.24, 1.23], p < .001); language (β = 0.23, 95% CI [0.20, 1.08], p < .001); and orientation domains (β = 0.13, 95% CI [0.11, 1.22], p = .016) of the Montreal Cognitive Assessment and the Functional Movement Screen. The quality of movement was related to both age and cognitive performance, such as the visuospatial abilities, language, and orientation domains, in physically inactive older women.

NCOG-44. FEASIBILITY AND UTILITY OF THE MONTREAL COGNITIVE ASSESSMENT IN ROUTINE CLINICAL EXAMS AND TELEHEALTH VISITS IN NEURO-ONCOLOGY

2021 ◽  
Vol 23 (Supplement_6) ◽  
pp. vi161-vi162
Author(s):  
Varna Jammula ◽  
Elizabeth Vera ◽  
James Rogers ◽  
Alexa Christ ◽  
Heather Leeper ◽  
...  
Keyword(s):  
Cognitive Assessment ◽  
College Education ◽  
Symptom Burden ◽  
Primary Brain Tumor ◽  
Montreal Cognitive Assessment ◽  
Standardized Assessments ◽  
Routine Practice ◽  
Clinical Settings ◽  
Survey Responses ◽  
Moca Score

Abstract Cognitive dysfunction (CD) is common among primary brain tumor (PBT) patients and adds to the overall symptom burden. Standardized assessments able to be incorporated into routine clinical in-person and telehealth care are needed. Here, we report the feasibility, utility, and satisfaction with use of the Montreal Cognitive Assessment (MoCA) in telehealth and clinical settings by trained clinical providers. Feasibility and provider satisfaction were assessed through survey responses, and patient performance on the MoCA, after a reliability check, was reported through descriptive statistics. Seventy-nine MoCAs on 71 patients were completed in clinic (n=55) or telehealth (n=24). Majority of patients were white (83%) males (54%) with high grade PBTs (66%), and half of patients had completed at least a college education. In clinic, providers (n=9) reported the MoCA took 5-20 minutes to complete, was easy to incorporate into routine practice (78%), believed it was accurate in assessing cognition (67%), and was useful in determining treatment (88%). The average in-person MoCA score was 25 (range: 6 to 30), with 31% of scores classified as abnormal (≤26). In telehealth, providers (n=11) found the administration of the MoCA prior to attending participation in the telehealth visit helpful (75%), discussed the results with their clinical team (75%) and patient (63%), and believed the MoCA was accurate in assessing cognition remotely (63%). On average, patients took 13 minutes (9-22) to complete testing, with three tests discordant on reliability scoring and one patient unable to complete testing. The average telehealth MoCA score was 26 (12-30), with 29% of scores classified as abnormal. Overall, testing was feasible in both clinical and telehealth settings, and providers reported satisfaction with its use. Future studies should evaluate validity in a larger sample and include analysis of relevant cut-off scores, impact of disease, tumor treatment, and genomic predispositions.

P2-313: The Montreal Cognitive Assessment memory index score (MOCA-MIS) and total MOCA score to help predict MCI conversion to Alzheimer's disease

2012 ◽  
Vol 8 (4S_Part_10) ◽  
pp. P372-P372
Author(s):  
Parunyou Julayanont ◽  
Ziad Nasreddine ◽  
Mélanie Brousseau ◽  
Michael Borrie ◽  
Howard Chertkow ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Assessment ◽  
Index Score ◽  
Montreal Cognitive Assessment ◽  
Moca Score

scholarly journals Pharmacological management of alcohol withdrawal in a general hospital

2008 ◽  
Vol 32 (12) ◽  
pp. 452-454
Author(s):  
Siobhain Quinn ◽  
Rani Samuel ◽  
Jim Bolton ◽  
Borislav Iankov ◽  
Anna Stout
Keyword(s):  
General Hospital ◽  
Brain Damage ◽  
Alcohol Withdrawal ◽  
Clinical Implications ◽  
National Guidelines ◽  
Pharmacological Management ◽  
Before And After ◽  
Alcohol Detoxification ◽  
Alcohol Dependent

Aims and MethodTo assess the quality of prescriptions for alcohol detoxification and vitamin prophylaxis for in-patients who were alcohol-dependent in a general hospital, before and after the introduction of prescribing guidelines. We assessed 27 prescription charts before and 22 after intervention against standards based on national guidelines.ResultsThere was an increase of 43% (95% CI 20–65%) in the proportion of alcohol detoxification prescriptions that met the guidelines. for vitamin prophylaxis there was an increase of 64% (95% CI 42–85%).Clinical ImplicationsThe pharmacological management of alcohol withdrawal in the general hospital can be significantly improved by promoting and making readily available a prescribing guideline. In turn, this may reduce alcohol-related brain damage.

scholarly journals Functional deficits and other psychiatric associations with abnormal scores on the Montreal Cognitive Assessment (MoCA) in older HIV-infected patients

2019 ◽  
Vol 32 (1) ◽  
pp. 105-118 ◽  
Author(s):  
James A. Bourgeois ◽  
Malcolm John ◽  
Roland Zepf ◽  
Meredith Greene ◽  
Steven Frankel ◽  
...  
Keyword(s):  
Social Support ◽  
Cognitive Impairment ◽  
Cognitive Assessment ◽  
Psychiatric Symptoms ◽  
Stress Disorders ◽  
Montreal Cognitive Assessment ◽  
White Race ◽  
Co Morbidity ◽  
Poor Social Support ◽  
Moca Score

ABSTRACTObjective:The authors assessed the association of physical function, social variables, functional status, and psychiatric co-morbidity with cognitive function among older HIV-infected adults.Design:From 2012–2014, a cross-sectional study was conducted among HIV-infected patients ages 50 or older who underwent comprehensive clinical geriatric assessment.Setting:Two San Francisco HIV clinics.Participants:359 HIV-infected patients age 50 years or olderMeasurementsUnadjusted and adjusted Poisson regression measured prevalence ratios and 95% confidence intervals for demographic, functional and psychiatric variables and their association with cognitive impairment using a Montreal Cognitive Assessment (MoCA) score < 26 as reflective of cognitive impairment.ResultsThirty-four percent of participants had a MoCA score of < 26. In unadjusted analyses, the following variables were significantly associated with an abnormal MoCA score: born female, not identifying as homosexual, non-white race, high school or less educational attainment, annual income < $10,000, tobacco use, slower gait speed, reported problems with balance, and poor social support. In subsequent adjusted analysis, the following variables were significantly associated with an abnormal MoCA score: not identifying as homosexual, non-white race, longer 4-meter walk time, and poor social support. Psychiatric symptoms of depressive, anxiety, and post-traumatic stress disorders did not correlate with abnormal MoCA scores.Conclusions:Cognitive impairment remains common in older HIV-infected patients. Counter to expectations, co-morbid psychiatric symptoms were not associated with cognitive impairment, suggesting that cognitive impairment in this sample may be due to neurocognitive disorders, not due to other psychiatric illness. The other conditions associated with cognitive impairment in this sample may warrant separate clinical and social interventions to optimize patient outcomes.

Sign in / Sign up

Export Citation Format

Share Document