![]() ![]() MoCA test: normative and diagnostic accuracy data for seniors with heterogeneous educational levels in Brazil. The montreal cognitive assessment: normative data from a large Swedish population-based cohort. A subtest analysis of The Montreal Cognitive Assessment (MoCA): which subtests can best discriminate between healthy controls, mild cognitive impairment and Alzheimer’s disease? Int Psychogeriatr. However, age and education adjusted cutoff. In identifying cognitive impairment, the sensitivity and specificity were 0.932 and 0.723, respectively. To detect dementia, its sensitivity was 0.922, and specificity was 0.923. doi: 10.1002/ana.21915.Ĭecato JF, Martinelli JE, Izbicki R, et al. Single cutoff score of HK-MoCA differentiated MCI from normal with sensitivity of 0.861 and specificity of 0.723. Dementia incidence continues to increase with age in the oldest old: the 90+ study. 2017.Ĭorrada MM, Brookmeyer R, Paganini-Hill A, et al. Revision, custom data acquired via web-site. United Nations Department of Economic and Social Affairs Population Division. The equivalences of the three cognitive tests (MMSE, MoCA-30, MoCA-22) in the oldest-old will facilitate continuity of cognitive tracking of individuals tested with different tests over time and comparison of the studies that use different cognitive tests.ĩ0 + MMSE MoCA-22 MoCA-30 Oldest-old Score conversion. Subtest, domain and MoCA-22 norms will aid in evaluation of the oldest-old who cannot complete the MoCA-30 or are tested over the phone. An MMSE score of 27 is equivalent to a MoCA-30 score of 22 and a MoCA-22 score of 16. MoCA-22 total score norms are: mean = 18.3(standard deviation = 2.2). ![]() Second, we derived score equivalences for MMSE to MoCA-30 and MoCA-22, and MoCA-30 to MoCA-22 using equipercentile equating method with log-linear smoothing, based on all 157 participants. These norms were derived from 124 participants with a Mini-Mental State Examination (MMSE) ≥ 27. First, we derived norms for (1) subtests and cognitive domains of the in-person Montreal Cognitive Assessment having a maximum score of 30 (MoCA-30) and (2) the total MoCA-22 score, obtained from the in-person MoCA-30 by summing the subtests that do not require visual input to a maximum score of 22. To provide norms and score equivalence for commonly used cognitive screening tests for the oldest-old.ĭata on 157 participants of the Center for Healthy Aging Longevity Study aged 90 + were analyzed. However, norms and score equivalence for screening tests are lacking for this group. The Montreal Cognitive Assessment (MoCA) BLIND is a shortened version of the MoCA with the visual elements removed (total 22 points, cutoff <19, for MCI sensitivity 63, specificity 98 30), and suitable for telephone administration. This age group is the fastest growing and has the highest risk of dementia. ![]() Trail making requires cognitive flexibility generated through the dorsolateral and medial prefrontal cortices.Cognitive screening is important for the oldest-old (age 90 +).At the end of the second trial, inform the subject that (s)he will be asked to recall these words again by saying, “ I will ask you to recall those words again at the end of the test.” Try to remember and tell me as many words as you can, including words you said the first time.” Put a check in the allocated space for each word the subject recalls after the second trial. When the subject indicates that (s)he has finished (has recalled all words), or can recall no more words, read the list a second time with the following instructions: “ I am going to read the same list for a second time. It doesn’t matter in what order you say them.” Mark a check in the allocated space for each word the subject produces on this first trial. When I am through, tell me as many words as you can remember. I am going to read a list of words that you will have to remember now and later on. For comparison, we included MoCA data from a. Read a list of 5 words at a rate of 1 word per second, giving the following instructions: “ This is a memory test. Only participants that scored >26 (i.e., normal cognitive function) at 20/20 were included in the analysis. ![]()
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