Validation of Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) in cognitive assessment. Cuenca, 2019.
DOI:
https://doi.org/10.18537/RFCM.40.02.02Keywords:
dementia, memory disorderAbstract
Objetive: This research was performed to find sensitivity, specificity, PPV, NPV and ROC curve of the Montreal Cognitive Assessment test (MoCA) compared with Mini-Mental State Examination test (MMSE) in older adults to identify cognitive impairment. Methodology: 93 adults older than 64 years (35 men and 58 women) were included, average age between 76-85 years (older adult), MoCA and MMSE were applied. Results: 35% normal results were determined with MMSE test, and 15% in MoCA test. When assessing scholarship, 57% high school fulfilled showed normal MoCA score, 65% of patients with elementary school had pathological result. In MMSE tests, 39% of patients with high school fulfilled obtained normal result. The group with pathological results, 68% where related to elementary school fulfilled. Conclusions: MoCA shows better sensitivity and less specificity than MMSE to identify cognitive impairment, being better to determine disease in sick subjects, but not more useful to detect healthy subjects, MoCA shows 65% probability of determining pathology in an older adult
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