Montreal Cognitive Assessment and Mini-Mental Status Examination compared as cognitive screening tools in heart failure

Athilingam, Ponrathi; King, Kathleen; Burgin, Scott W.; Ackerman, Michael H.; Cushman, Laura A.; Chen, Leway

doi:10.1016/j.hrtlng.2010.11.002

Cited by 64 publications

(65 citation statements)

References 41 publications

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“…Studies in samples that were not defined specifically by cerebrovascular disease were excluded (e.g. heart failure and diabetes) [4,5,6,7,8,9]; 2 studies used the MoCA to assess the convergent [10] and discriminant [11] validity of other tests in stroke patients; since they reported no evidence relevant to the validity of the MoCA for assessment of cognitive impairment, these papers were excluded. Reference lists of included papers were examined to identify additional papers for inclusion.…”

Section: Introductionmentioning

confidence: 99%

Validity and Applications of the Montreal Cognitive Assessment for the Assessment of Vascular Cognitive Impairment

Koski¹

2013

Cerebrovasc Dis

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Cognitive impairment is common among patients with stroke or other cerebrovascular disease and influences long-term outcome, including occupational functioning. Recognition and monitoring of mild cognitive impairment is thus essential to good patient care. The Montreal Cognitive Assessment (MoCA) has been suggested as a brief screening test of vascular cognitive impairment. This paper presents a critical review of the research literature evaluating the validity and utility of this test with the aim of informing future clinical and research practice. A total of 30 papers employing the MoCA in the context of cerebrovascular disease were identified. Reporting of the methods and results of such studies tended to fall short of the established reporting guidelines. Under-specification of the exclusion criteria applied and their impact make it difficult to assess the potential impact of sampling bias and loss to follow-up. Nevertheless, content validity evidence suggests that the MoCA covers most of the domains that represent cognitive impairment in cerebrovascular disease, with mixed evidence for its preferential sensitivity to the type of cognitive impairment encountered in the context of vascular disease. Evidence clearly supports the need to establish norms and cut-offs for the MoCA that are culturally appropriate and that are matched to the range of cognitive impairment that is present in the population being assessed. Recent modifications of the MoCA have been developed for assessing patients with visual impairment or restricted mobility, which may reduce the impact of ‘untestability' on cognitive screening in the clinic or research context. The MoCA correlates well with other measures of cognitive and functional abilities in patients with cerebrovascular disease, and may also predict future response to rehabilitation and long-term occupational outcome. Further research is needed to provide evidence for the validity of the MoCA in longitudinal studies. However, it compares favourably to the Mini Mental State Examination as a screening test that is sensitive to the milder forms of cognitive impairment that often accompany cerebrovascular disease.

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Section: Introductionmentioning

confidence: 99%

Validity and Applications of the Montreal Cognitive Assessment for the Assessment of Vascular Cognitive Impairment

Koski¹

2013

Cerebrovasc Dis

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“…[12][13][14] The MoCA appears to be a comprehensive and suitable screening tool for detection of CI in HF patients. [15][16][17] The MoCA evaluates eight cognitive domains with sub-scores for visual and spatial awareness, executive function, naming, attention, language, abstraction, delayed recall, and orientation, with a total score of 30. 18 Cognitive impairment was defined as a MoCA score of 26 or less.…”

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confidence: 99%

Cognitive function and left ventricular assist device implantation

Bhat

Yost

Mahoney

2015

The Journal of Heart and Lung Transplantation

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“…Results showed that the MoCA score is more sensitive to detect the MCI and AD in comparison with MMSE. [59][60][61] In addition, the MoCA has comprehensive coverage of cognitive function, such as executive function attention, attention and delayed recall, while the MMSE lacks these abilities. 62 Recently, Alagiakrishnan et al have compared the usefulness of MoCA with the Standardized MMSE in detecting MCI with T2DM.…”

Section: Discussionmentioning

confidence: 99%

Analysis of entropies based on empirical mode decomposition in amnesic mild cognitive impairment of diabetes mellitus

Cui

Wang

Bian

et al. 2015

J. Innov. Opt. Health Sci.

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EEG characteristics that correlate with the cognitive functions are important in detecting mild cognitive impairment (MCI) in T2DM. To investigate the complexity between aMCI group and age-matched non-aMCI control group in T2DM, six entropies combining empirical mode decomposition (EMD), including Approximate entropy (ApEn), Sample entropy (SaEn), Fuzzy entropy (FEn), Permutation entropy (PEn), Power spectrum entropy (PsEn) and Wavelet entropy (WEn) were used in the study. A feature extraction technique based on maximization of the area under the curve (AUC) and a support vector machine (SVM) were subsequently used to for features selection and classi¯cation. Finally, Pearson's linear correlation was employed to study associations between these entropies and cognitive functions. Compared to other entropies, FEn had a higher classi¯cation accuracy, sensitivity and speci¯city of 68%, 67.1% and 71.9%, respectively. Top 43 salient features achieved classi¯cation accuracy, sensitivity and speci¯city of 73.8%, 72.3% and 77.9%, respectively. P4, T4 and C4 were the highest ranking salient electrodes. Correlation analysis showed that FEn based on EMD was positively correlated to memory at electrodes F7, F8 and P4, and PsEn based on EMD was positively correlated to Montreal cognitive assessment (MoCA) and memory at electrode T4. In sum, FEn based on EMD in righttemporal and occipital regions may be more suitable for early diagnosis of the MCI with T2DM.

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Montreal Cognitive Assessment and Mini-Mental Status Examination compared as cognitive screening tools in heart failure

Cited by 64 publications

References 41 publications

Validity and Applications of the Montreal Cognitive Assessment for the Assessment of Vascular Cognitive Impairment

Validity and Applications of the Montreal Cognitive Assessment for the Assessment of Vascular Cognitive Impairment

Cognitive function and left ventricular assist device implantation

Analysis of entropies based on empirical mode decomposition in amnesic mild cognitive impairment of diabetes mellitus

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