Scores between these two cut-offs require further examinations. Introducing two separate cut-offs increased diagnostic accuracies with 92% specificity (23/24 points) and 91% sensitivity (26/27 points). Compared to the original MoCA cut-off, the cut-off of 23/24 points had higher specificity (92% vs 63%), but lower sensitivity (65% vs 86%).
ResultsĪ cut-off of 23/24 on the MoCA had better correct classification rates than the MMSE and the original MoCA cut-off. Cut-offs were identified based on (a) Youden’s index and (b) the 10th percentile of the control group. Methodsĭata were analyzed from 496 Memory Clinic outpatients (447 individuals with a neurocognitive disorder 49 with cognitive normal findings) and from 283 normal controls. We aim to revise the cut-off on the German MoCA for its use in clinical routine. doi:10.The Montreal Cognitive Assessment (MoCA) has good sensitivity for mild cognitive impairment, but specificity is low when the original cut-off (25/26) is used. Relationship between the Montreal Cognitive Assessment and Mini-mental State Examination for assessment of mild cognitive impairment in older adults. Trzepacz PT, Hochstelter H, Wang S, Walker B, Saykin AJ. Avoiding spectrum bias caused by healthy controls. Diagnostic accuracy of the Montreal Cognitive Assessment (MoCA) for cognitive screening in old age psychiatry: determining cutoff scores in clinical practice. Validity of the Montreal Cognitive Assessment (MoCA) index scores: a comparison with the cognitive domain scores of the Seoul Neuropsychological Screening Battery (SNSB). Minorities and women are at greater risk for Alzheimer's disease. Cognitive performance on the Mini-Mental State Examination and the Montreal Cognitive Assessment across the healthy adult lifespan. Gluhm A, Goldstein J, Loc K, Colt A, Van Liew C, Corey-Bloom M.
Next, you will be given a drawing of a three-dimensional cube and asked to make a copy. Executive and visuospatial function: You will first be given a picture with numbered dots (1, 2, 3, 4, 5) and lettered dots (A, B, C, D, E) and asked to connect them sequentially, alternating numbers and letters.