Feasibility of the Montreal Cognitive Assessment in acute stroke patients

S Horstmann; T Rizos; G Rauch; C Arden; R Veltkamp

doi:10.1111/ene.12505

Feasibility of the Montreal Cognitive Assessment in acute stroke patients

Standard

Feasibility of the Montreal Cognitive Assessment in acute stroke patients. / Horstmann, S; Rizos, T; Rauch, G; Arden, C; Veltkamp, R.

In: EUR J NEUROL, Vol. 21, No. 11, 11.2014, p. 1387-1393.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Horstmann, S, Rizos, T, Rauch, G, Arden, C & Veltkamp, R 2014, 'Feasibility of the Montreal Cognitive Assessment in acute stroke patients', EUR J NEUROL, vol. 21, no. 11, pp. 1387-1393. https://doi.org/10.1111/ene.12505

APA

Horstmann, S., Rizos, T., Rauch, G., Arden, C., & Veltkamp, R. (2014). Feasibility of the Montreal Cognitive Assessment in acute stroke patients. EUR J NEUROL, 21(11), 1387-1393. https://doi.org/10.1111/ene.12505

Vancouver

Horstmann S, Rizos T, Rauch G, Arden C, Veltkamp R. Feasibility of the Montreal Cognitive Assessment in acute stroke patients. EUR J NEUROL. 2014 Nov;21(11):1387-1393. https://doi.org/10.1111/ene.12505

Bibtex

@article{494d40040a87406c905157da0b660054,

title = "Feasibility of the Montreal Cognitive Assessment in acute stroke patients",

abstract = "BACKGROUND AND PURPOSE: Cognitive deficits are common following stroke. Cognitive function in the acute stroke setting is a predictive factor for mid-term outcome. The Montreal Cognitive Assessment (MoCA) is a screening tool for cognitive impairment. The feasibility of MoCA in the acute phase of stroke was evaluated and factors predictive of cognitive impairment were determined.METHODS: In this prospective, single-centre, explorative and observational study consecutive patients with ischaemic (IS) or haemorrhagic (ICH) stroke were enrolled between March 2011 and September 2012. The routine work-up for each patient encompassed assessment of cardiovascular risk factors, the National Institutes of Health Stroke Scale (NIHSS) and the pre-morbid modified Rankin Scale (mRS) score. Cognitive performance was measured using the German version of the MoCA within the first days of admission. A MoCA score of <26 was considered to indicate cognitive impairment.RESULTS: Between March 2011 and September 2012 a total of 842 patients with IS (89.0%) and ICH (11.0%) were enrolled in our study. MoCA was feasible in 678/842 patients (80.5%). Factors independently associated with non-feasibility were stroke severity (NIHSS), pre-morbid functional status (mRS), age and lower educational level. Mean MoCA was 21.4 (SD 5.7). A total of 498/678 (73.5%) patients appeared cognitively impaired (<26/30). Independent predictive factors for a lower MoCA score were age, educational level, stroke severity (NIHSS) and pre-morbid functional status (mRS).CONCLUSIONS: In the acute phase of stroke, MoCA is feasible in about 80% of eligible patients. At this stage, MoCA identifies a cognitive impairment in 75% of patients.",

keywords = "Aged, Aged, 80 and over, Cardiovascular Diseases, Cognition Disorders, Feasibility Studies, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Prospective Studies, Psychometrics, Stroke, Journal Article, Research Support, Non-U.S. Gov't",

author = "S Horstmann and T Rizos and G Rauch and C Arden and R Veltkamp",

note = "{\textcopyright} 2014 The Author(s) European Journal of Neurology {\textcopyright} 2014 EAN.",

year = "2014",

month = nov,

doi = "10.1111/ene.12505",

language = "English",

volume = "21",

pages = "1387--1393",

journal = "EUR J NEUROL",

issn = "1351-5101",

publisher = "Wiley-Blackwell",

number = "11",

}

RIS

TY - JOUR

T1 - Feasibility of the Montreal Cognitive Assessment in acute stroke patients

AU - Horstmann, S

AU - Rizos, T

AU - Rauch, G

AU - Arden, C

AU - Veltkamp, R

PY - 2014/11

Y1 - 2014/11

N2 - BACKGROUND AND PURPOSE: Cognitive deficits are common following stroke. Cognitive function in the acute stroke setting is a predictive factor for mid-term outcome. The Montreal Cognitive Assessment (MoCA) is a screening tool for cognitive impairment. The feasibility of MoCA in the acute phase of stroke was evaluated and factors predictive of cognitive impairment were determined.METHODS: In this prospective, single-centre, explorative and observational study consecutive patients with ischaemic (IS) or haemorrhagic (ICH) stroke were enrolled between March 2011 and September 2012. The routine work-up for each patient encompassed assessment of cardiovascular risk factors, the National Institutes of Health Stroke Scale (NIHSS) and the pre-morbid modified Rankin Scale (mRS) score. Cognitive performance was measured using the German version of the MoCA within the first days of admission. A MoCA score of <26 was considered to indicate cognitive impairment.RESULTS: Between March 2011 and September 2012 a total of 842 patients with IS (89.0%) and ICH (11.0%) were enrolled in our study. MoCA was feasible in 678/842 patients (80.5%). Factors independently associated with non-feasibility were stroke severity (NIHSS), pre-morbid functional status (mRS), age and lower educational level. Mean MoCA was 21.4 (SD 5.7). A total of 498/678 (73.5%) patients appeared cognitively impaired (<26/30). Independent predictive factors for a lower MoCA score were age, educational level, stroke severity (NIHSS) and pre-morbid functional status (mRS).CONCLUSIONS: In the acute phase of stroke, MoCA is feasible in about 80% of eligible patients. At this stage, MoCA identifies a cognitive impairment in 75% of patients.

AB - BACKGROUND AND PURPOSE: Cognitive deficits are common following stroke. Cognitive function in the acute stroke setting is a predictive factor for mid-term outcome. The Montreal Cognitive Assessment (MoCA) is a screening tool for cognitive impairment. The feasibility of MoCA in the acute phase of stroke was evaluated and factors predictive of cognitive impairment were determined.METHODS: In this prospective, single-centre, explorative and observational study consecutive patients with ischaemic (IS) or haemorrhagic (ICH) stroke were enrolled between March 2011 and September 2012. The routine work-up for each patient encompassed assessment of cardiovascular risk factors, the National Institutes of Health Stroke Scale (NIHSS) and the pre-morbid modified Rankin Scale (mRS) score. Cognitive performance was measured using the German version of the MoCA within the first days of admission. A MoCA score of <26 was considered to indicate cognitive impairment.RESULTS: Between March 2011 and September 2012 a total of 842 patients with IS (89.0%) and ICH (11.0%) were enrolled in our study. MoCA was feasible in 678/842 patients (80.5%). Factors independently associated with non-feasibility were stroke severity (NIHSS), pre-morbid functional status (mRS), age and lower educational level. Mean MoCA was 21.4 (SD 5.7). A total of 498/678 (73.5%) patients appeared cognitively impaired (<26/30). Independent predictive factors for a lower MoCA score were age, educational level, stroke severity (NIHSS) and pre-morbid functional status (mRS).CONCLUSIONS: In the acute phase of stroke, MoCA is feasible in about 80% of eligible patients. At this stage, MoCA identifies a cognitive impairment in 75% of patients.

KW - Aged

KW - Aged, 80 and over

KW - Cardiovascular Diseases

KW - Cognition Disorders

KW - Feasibility Studies

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Neuropsychological Tests

KW - Prospective Studies

KW - Psychometrics

KW - Stroke

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1111/ene.12505

DO - 10.1111/ene.12505

M3 - SCORING: Journal article

C2 - 25040216

VL - 21

SP - 1387

EP - 1393

JO - EUR J NEUROL

JF - EUR J NEUROL

SN - 1351-5101

IS - 11

ER -