What is your doctor going to do with this to get you cognitively back to normal?
Differences in cognitive profiles between traumatic brain injury and stroke: a comparison of the Montreal Cognitive Assessment and Mini-Mental State Examination
- Open Access funded by Daping Hospital and the Research Institute of Surgery of the Third Military Medical University
- Under a Creative Commons license
Abstract
Purpose
To
investigate the profiles of cognitive impairment through Montreal
Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE)
in patients with chronic traumatic brain injury (TBI) or stroke and to
evaluate the sensitivity of the two scales in patients with TBI.
Methods
In this cohort study, a total of 230 patients were evaluated, including TBI group (n=103) and stroke group (n=127).
The cognitive functions of two groups were evaluated by designated
specialists using Moca (Beijing version) and MMSE (Chinese version).
Results
Compared
with the patients with stroke, the patients with TBI received
significantly lower score in orientation subtest and recall subtest in
both tests. MoCA abnormal rates in the TBI group and stroke group were
94% and 87% respectively, while MMSE abnormal rates were 70% and 57%,
respectively. In the TBI group, 87% patients with normal MMSE score had
abnormal MoCA score and in the stroke group, about 70% patients with
normal MMSE score had abnormal MoCA score. The diagnostic consistency of
two scales in the TBI group and the stroke group were 72% and 69%,
respectively.
Conclusion
In
our rehabilitation center, patients with TBI may have more extensive
and severe cognitive impairments than patients with stroke, prominently
in orientation and recall domain. In screening post-TBI cognitive
impairment, MoCA tends to be more sensitive than MMSE.
It never ceases to amaze me that some people who study cognitive impairment can't write clearly. The Results section is incoherent. After reading it several times I found no data about orientation and recall.
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