The evidence we reviewed is current to August 2012. MoCA uses a series of questions to test different aspects of mental functioning. Copyright © 2016 John Wiley & Sons, Ltd.Īssessment cognition dementia memory screening. In this review, we wanted to discover whether using a wellestablished cognitive test, MoCA, could accurately detect dementia when compared to a gold standard diagnostic test. While both instruments are accurate in detecting MCI, the Qmci is shorter and arguably easier to complete, suggesting that it is a useful instrument in an Australian geriatric outpatient population. Royal Prince Alfred Hospital, Camperdown, NSW, Australia. 2019 Royal Australasian College of Physicians. Recently, the Montreal Cognitive Assessment (MoCA) has been developed as a brief cognitive. Keywords: Functional Assessment Staging Functional Independence Measure score Montreal Cognitive Assessment Rowland Universal Dementia Assessment Scale rehabilitation. At the optimal cut-offs, calculated from receiver operating characteristic curves, the Qmci (≤57) had a sensitivity of 91% and specificity of 93% for cognitive impairment, compared with 87% sensitivity and 80% specificity for the MoCA (≤23). Both RUDAS and MoCA scores could be used as predictors of discharge destination in a multicultural population. Both instruments had similar accuracy for differentiating MCI from dementia (AUC of 0.91 vs 0.88, p = 0.35). The Qmci was non-significantly more accurate in distinguishing MCI from controls (AUC 0.91 vs 0.84, respectively = 0.16). The Qmci more accurately identified cognitive impairment (MCI or dementia), area under the curve (AUC) 0.97, than the MoCA (AUC 0.92), p = 0.04. We found only 33 of users have acceptable proficiency prior to MoCA Certification, compared to 79 after completing training only once. Successful completion of the official Training & Certification is mandatory for anyone administering paper based MoCA tests. Median Qmci scores for NC, MCI and dementia were 69 (+/-19), 52.5 (+/-12) and 36 (+/-14), respectively, compared with 27 (+/-5), 22 (+/-4) and 15 (+/-7) for the MoCA. Your name and certified status will automatically appear on the tests you administer. The Qmci and MoCA were scored by trained geriatricians, in random order, blind to the diagnosis. NC (n = 41) were a sample of convenience. Every day we make decisions: what to eat, what to wear, where to shop and what to buy. We sought to investigate how the shorter Quick Mild Cognitive Impairment (Qmci) screen compares with the MoCA.Ĭonsecutive referrals presenting with cognitive complaints to a teaching hospital geriatric clinic (Fremantle, Western Australia) underwent a comprehensive assessment and were classified as MCI (n = 72) or dementia (n = 109). GPs can often be called upon to determine if their patients have medical capacity to make legal decisions. While the MoCA is validated in multiple clinical settings, few studies compare it with similar tests also designed to detect MCI. The Montreal Cognitive Assessment (MoCA) accurately differentiates mild cognitive impairment (MCI) from mild dementia and normal controls (NC).
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