Comparison of montreal cognitive assessment and mini-mental state examination in evaluating cognitive domain deficit following aneurysmal subarachnoid haemorrhage

Cognitive deficits are common after aneurysmal subarachnoid haemorrhage (aSAH), and clinical evaluation is important for their management. Our hypothesis was that the Montreal Cognitive Assessment (MoCa) is superior to the Mini-Mental State Examination (MMSE) in screening for cognitive domain defici...

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Bibliographic Details
Published in:PloS one 2013-04, Vol.8 (4), p.e59946
Main Authors: Wong, George Kwok Chu, Lam, Sandy Wai, Wong, Adrian, Ngai, Karine, Poon, Wai Sang, Mok, Vincent
Format: Article
Language:English
Subjects:
Aged
Analysis
Aneurysm
Aneurysms
Area Under Curve
Biology
Chinese languages
Clinical trials
Cognition
Cognition Disorders - diagnosis
Cognitive ability
Dementia
Diagnostic systems
Education
Female
Hemorrhage
Hospitals
Humans
Impairment
Male
Medicine
Memory
Middle Aged
Neuropsychological Tests
Neurosurgery
Patients
Population
Prospective Studies
Risk assessment
ROC Curve
Severity of Illness Index
Social and Behavioral Sciences
Stroke
Subarachnoid hemorrhage
Subarachnoid Hemorrhage - pathology
Subarachnoid Hemorrhage - psychology
Surgery
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Summary:Cognitive deficits are common after aneurysmal subarachnoid haemorrhage (aSAH), and clinical evaluation is important for their management. Our hypothesis was that the Montreal Cognitive Assessment (MoCa) is superior to the Mini-Mental State Examination (MMSE) in screening for cognitive domain deficit in aSAH patients. We carried out a prospective observational and diagnostic accuracy study on Hong Kong aSAH patients aged 21 to 75 years who had been admitted within 96 hours of ictus. The domain-specific neuropsychological assessment battery, the MoCA and MMSE were administered 2-4 weeks and 1 year after ictus. A cognitive domain deficit was defined as a cognitive domain z score
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0059946