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. We aim to revise the cut-off on the German MoCA for its use in clinical routine. Methodsĭata were analyzed from 496 Memory Clinic outpatients (447 individuals with a neurocognitive disorder 49 with cognitive normal findings) and from 283 normal controls. Cut-offs were identified based on (a) Youden’s index and (b) the 10th percentile of the control group. ResultsĪ cut-off of 23/24 on the MoCA had better correct classification rates than the MMSE and the original MoCA cut-off.
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%). Introducing two separate cut-offs increased diagnostic accuracies with 92% specificity (23/24 points) and 91% sensitivity (26/27 points). Geht es um die MoCa-Test Auswertung, so wird die erreichte Punktzahl (auch Score) nach einem vorgegebenen Punktesystem entsprechend interpretiert. Scores between these two cut-offs require further examinations. There are many treatable and reversible causes of cognitive impairment. Results: The mean MoCA score on the first visit was 20.7 (SD: 4.1). Knowing your score is only the start of the process, though. Using two separate cut-offs for the MoCA combined with scores in an indecisive area enhances the accuracy of cognitive screening.Ī steep increase in the prevalence of dementia is expected, associated with social, economic, and societal challenges. Taking a cognitive test and learning the results can be stressful, especially if your score is poor.
Early detection of dementia is crucial for an implementation of therapeutic strategies in the earliest disease stages, and reliable cognitive screening tools play an important role in this process of identifying individuals with cognitive impairment. The MoCA is particularly useful for detecting cognitive changes in those with higher levels of education, or where mild cognitive changes are the primary. In the context of clinical research, accurate cognitive assessment tools are needed for an adequate selection of participants, since erroneous inclusion or exclusion of individuals may bias study findings. The Montreal Cognitive Assessment (MoCA) is a brief cognitive screening test with high sensitivity and specificity for detecting Mild Neurocognitive Disorder / Mild Cognitive Impairment (MCI). It is argued that to seek a cutoff score is essential to classify test participants. The Montreal Cognitive Assessment (MoCA) has gained popularity for cognitive screening. Cutoff scores of the Montreal cognitive assessment (MoCA) for screening mild cognitive impairment in older adults differ across the world and within the Chinese culture. A cut-off score of 26 signifies mild cognitive impairment. It correlates well with extensive neuropsychological test batteries and covers most of the cognitive domains outlined in the Diagnostic and Statistical Manual, 5th Edition (DSM-5). Key Descriptions 16 items and 11 categories to assess multiple cognitive domains (e.g.