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. 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. The original validation study for the Montreal Cognitive Assessment (MoCA) suggests a cutoff score of 26 however, this may be too stringent for older adults, particularly for those with less education.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.Clinical validation of the oral trail making test. Trail making test A improves performance characteristics of the international HIV-dementia scale to identify symptomatic HAND. doi:10.1093/ageing/aft073Ĭhalermchai T, Valcour V, Sithinamsuwan P. doi:10.1016/j.acn.2007.11.005ĭobbs BM, Shergill SS, How effective is the trail making test (parts A and B) in identifying cognitively impaired drivers? Age Ageing. Trail making test errors in normal aging, mild cognitive impairment, and dementia. Jefferson AL, O'Connor MK, Chaisson C, Green RC, Stern RA. The Montreal Cognitive Assessment (MoCA) is a test assessing global cognition in older adults which is often used by researchers and clinicians worldwide, although some of its psychometric properties have yet to be established. It is widely used across the world in a variety of settings.2 The MoCA is recommended by the Alzheimer Society to objectively assess cognitive complaints in a clinical setting. Lowering the Floor on Trail Making Test Part B: Psychometric Evidence for a New Scoring Metric. The Montreal Cognitive Assessment (MoCA)1 was developed as a brief screening test for mild cognitive impairment (MCI). Trail Making Test: regression-based norms for the Portuguese population. What is dementia? Symptoms, types, and diagnosis.Ĭavaco S, Goncalves A, Pinto C, et al. Llinàs-Reglà J., Vilalta-Franch J, López-Pousa S, Calvó-Perxas L, Torrents Rodas D, Garre-Olmo J.
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