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      The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment : MOCA: A BRIEF SCREENING TOOL FOR MCI

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          Abstract

          To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia. Validation study. A community clinic and an academic center. Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score > or =17), and 90 healthy elderly controls (NC). The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD. Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively). MCI as an entity is evolving and somewhat controversial. The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE.

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          Author and article information

          Journal
          Journal of the American Geriatrics Society
          Wiley
          00028614
          15325415
          April 2005
          April 2005
          : 53
          : 4
          : 695-699
          Article
          10.1111/j.1532-5415.2005.53221.x
          15817019
          e38a078b-6add-4135-9b7b-29f0d3f9fa0f
          © 2005

          http://doi.wiley.com/10.1002/tdm_license_1.1

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