Cognitive screening in the acute stroke setting

被引:89
作者
Blackburn, Daniel J. [1 ]
Bafadhel, Leila [2 ]
Randall, Marc [3 ]
Harkness, Kirsty A. [3 ]
机构
[1] Univ Sheffield, Acad Neurol Unit, Sheffield Inst Translat Neurosci, Sheffield S10 2HQ, S Yorks, England
[2] Royal Hallamshire Hosp, Dept Care Elderly, Sheffield S10 2JF, S Yorks, England
[3] Royal Hallamshire Hosp, Dept Neurol, Sheffield S10 2JF, S Yorks, England
关键词
stroke; cognitive impairment; post-stroke dementia; older people; MENTAL-STATE-EXAMINATION; IMPAIRMENT; SUPERIOR; DEMENTIA; MOCA;
D O I
10.1093/ageing/afs116
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Methods: a convenience sample of 50 patients, admitted with stroke or transient ischaemic attack (TIA), were screened within 14 days, using the MoCA and the MMSE. Results: the mean MoCA was 21.80 versus a mean MMSE of 26.98; 70% were impaired on the MoCA (cut-off < 26) versus 26% on MMSE (cut-off < 27). The MoCA could be completed in < 10 min in 90% of cases. Conclusion: the MoCA is easy and quick to use in the acute stroke setting. Further work is required to determine whether a low score on the MoCA in the acute stroke setting will predict the cognitive and functional status and to explore what the best cut-off should be in an acute post-stroke setting.
引用
收藏
页码:113 / 116
页数:4
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