The Montreal Cognitive Assessment Short Cognitive Evaluation in a Large Stroke Trial

被引：70

作者：

Cumming, Toby B. ^{[1
]}

Bernhardt, Julie ^{[1
]}

Linden, Thomas ^{[2
]}

机构：

[1] Florey Neurosci Inst, NSRI, Heidelberg, Vic 3084, Australia

[2] Gothenburg Univ, Ctr Brain Res & Rehabil, Gothenburg, Sweden

来源：

STROKE | 2011年 / 42卷 / 09期

基金：

英国医学研究理事会;

关键词：

cerebrovascular disease; cognitive impairment; neuropsychology; vascular dementia; MINI-MENTAL-STATE; IMPAIRMENT;

D O I：

10.1161/STROKEAHA.111.619486

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and Purpose-Cognitive function is often ignored in stroke research trials. The brief Montreal Cognitive Assessment (MoCA) may be sensitive to stroke-related cognitive deficits. Methods-We evaluated the feasibility of administering the MoCA at 3 months in a large stroke trial (A Very Early Rehabilitation Trial [AVERT]). Results-Data (blinded to intervention group) are presented for 294 patients with mean age of 70.6 years (SD, 12.8); 220 (75%) completed the MoCA, 54 (18%) had missing data, and 20 (7%) had died. Of those surviving to 3 months, the MoCA was completed by 87% with mild stroke, 79% with moderate stroke, and 67% with severe stroke on admission. Mean MoCA score was 21.1 (SD 7.5) out of 30; only 78 of 220 (35%) patients attained the "normal" cutoff (>= 26). Conclusions-The MoCA is a feasible global cognitive screening tool in stroke trials. Clinical Trial Registration-URL: www.anzctr.org.au/trial_view.aspx?ID=1266. Unique identifier: ACTRN12606000185561. (Stroke. 2011;42:2642-2644.)

引用

页码：2642 / 2644

页数：3

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