Underestimation of Cognitive Impairment by Mini-Mental State Examination Versus the Montreal Cognitive Assessment in Patients With Transient Ischemic Attack and Stroke A Population-Based Study

Underestimation of Cognitive Impairment by Mini-Mental State Examination Versus the Montreal Cognitive Assessment in Patients With Transient Ischemic Attack and Stroke A Population-Based Study
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DOI:
10.1161/strokeaha.110.579888
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发表时间:
2010-06-01
期刊:
影响因子:
8.3
通讯作者:
Rothwell, Peter M.
Rothwell, Peter M.
中科院分区:
医学1区
文献类型:
--
作者:
Pendlebury, Sarah T.;Cuthbertson, Fiona C.;Rothwell, Peter M.

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背景和目的:简易精神状态检查(MMSE)对轻度认知障碍和执行功能不敏感。最近开发的蒙特利尔认知评估(MoCA)是另一种选择,简短的30分全球认知筛查,可能会在脑血管疾病患者中发现更多的认知异常。方法:在一项基于人群的短暂性脑缺血发作和卒中研究(牛津血管研究)中,MMSE和MoCA在6个月或5年随访期间连续给予患者。MMSE的可接受截止
Background and Purpose-The Mini-Mental State Examination (MMSE) is insensitive to mild cognitive impairment and executive function. The more recently developed Montreal Cognitive Assessment (MoCA), an alternative, brief 30-point global cognitive screen, might pick up more cognitive abnormalities in patients with cerebrovascular disease.Methods-In a population-based study (Oxford Vascular Study) of transient ischemic attack and stroke, the MMSE and MoCA were administered to consecutive patients at 6-month or 5-year follow-up. Accepted cutoffs of MMSE