Improving diagnostic accuracy of the Montreal Cognitive Assessment to identify post-stroke cognitive impairment.

ABSTRACT: Given advantages in reperfusion therapy leading to mild stroke, less apparent cognitive deficits can be overseen in a routine neurological examination. Despite the widespread use of the Montreal Cognitive Assessment (MoCA), age- and education-specific cutoffs for the detection of post-stroke cognitive impairment (PSCI) are not established, hampering its valid application in stroke. We aimed to establish age- and education-specific MoCA cutoffs to better discriminate patients with and without acute PSCI. Patients with acute ischemic stroke underwent the MoCA and a detailed neuropsychological assessment. PSCI was defined as a performance < - 1.5 SD in ≥ 2 cognitive domains. As secondary data analysis, the discriminant abilities of the MoCA_raw-score (not adding + 1 as correction fo

SUBMITTER: Gallucci L 

PROVIDER: S-EPMC11362592 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature