Feasibility of the Montreal Cognitive Assessment in acute stroke patients

• Verfasst von: Horstmann, Solveig [VerfasserIn]
• Verfasst von: Rizos, Timolaos [VerfasserIn]
• Verfasst von: Rauch, Geraldine [VerfasserIn]
• Verfasst von: Arden, Cathrin [VerfasserIn]
• Verfasst von: Veltkamp, Roland [VerfasserIn]
• Titel: Feasibility of the Montreal Cognitive Assessment in acute stroke patients
• Verf.angabe: S. Horstmann, T. Rizos, G. Rauch, C. Arden and R. Veltkamp
• E-Jahr: 2014
• Jahr: 12 July 2014
• Umfang: 7 S.
• Fussnoten: Gesehen am 04.02.2021
• Titel Quelle: Enthalten in: European journal of neurology
• Ort Quelle: Oxford [u.a.] : Wiley-Blackwell, 1994
• Jahr Quelle: 2014
• Band/Heft Quelle: 21(2014), 11, Seite 1387-1393
• ISSN Quelle: 1468-1331
• DOI: doi:10.1111/ene.12505
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Aged
• Sach-SW: Aged, 80 and over
• Sach-SW: Cardiovascular Diseases
• Sach-SW: Cognition Disorders
• Sach-SW: cognitive impairment
• Sach-SW: dementia
• Sach-SW: Feasibility Studies
• Sach-SW: Female
• Sach-SW: hemorrhagic stroke
• Sach-SW: Humans
• Sach-SW: ischemic stroke
• Sach-SW: Male
• Sach-SW: Middle Aged
• Sach-SW: MoCA
• Sach-SW: Neuropsychological Tests
• Sach-SW: Prospective Studies
• Sach-SW: Psychometrics
• Sach-SW: Stroke
• K10plus-PPN: 1747392405

Abstract

BACKGROUND AND PURPOSE: Cognitive deficits are common following stroke. Cognitive function in the acute stroke setting is a predictive factor for mid-term outcome. The Montreal Cognitive Assessment (MoCA) is a screening tool for cognitive impairment. The feasibility of MoCA in the acute phase of stroke was evaluated and factors predictive of cognitive impairment were determined. - METHODS: In this prospective, single-centre, explorative and observational study consecutive patients with ischaemic (IS) or haemorrhagic (ICH) stroke were enrolled between March 2011 and September 2012. The routine work-up for each patient encompassed assessment of cardiovascular risk factors, the National Institutes of Health Stroke Scale (NIHSS) and the pre-morbid modified Rankin Scale (mRS) score. Cognitive performance was measured using the German version of the MoCA within the first days of admission. A MoCA score of <26 was considered to indicate cognitive impairment. - RESULTS: Between March 2011 and September 2012 a total of 842 patients with IS (89.0%) and ICH (11.0%) were enrolled in our study. MoCA was feasible in 678/842 patients (80.5%). Factors independently associated with non-feasibility were stroke severity (NIHSS), pre-morbid functional status (mRS), age and lower educational level. Mean MoCA was 21.4 (SD 5.7). A total of 498/678 (73.5%) patients appeared cognitively impaired (<26/30). Independent predictive factors for a lower MoCA score were age, educational level, stroke severity (NIHSS) and pre-morbid functional status (mRS). - CONCLUSIONS: In the acute phase of stroke, MoCA is feasible in about 80% of eligible patients. At this stage, MoCA identifies a cognitive impairment in 75% of patients.