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The Montreal Cognitive Assessment detects cognitive deficits that go unnoticed during clinical observation in the acute phase after stroke.
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- Author(s): Stiekema, Annemarie P. M.; Vreven, Lara W. A.; Hummel, River S. O.; Mott, Anne S.; Verrijt, Sasha J. G. M.; Chin Kwie Joe, Rachel; Alberto, Nakharí A. S.; Ravindran, Pawan K.; Thommes, Chiara; van der Kwaak, Anouk; Staals, Julie; van Heugten, Caroline M.
- Source:
Brain Injury. 2024, Vol. 38 Issue 9, p687-691. 5p. - Source:
- Additional Information
- Subject Terms: COGNITION disorders diagnosis; STROKE units; ACADEMIC medical centers; DATA analysis; SCIENTIFIC observation; DESCRIPTIVE statistics; DISCHARGE planning; LONGITUDINAL method; MEDICAL records; ACQUISITION of data; PSYCHOLOGICAL tests; MEDICAL screening; STROKE; STROKE patients; DATA analysis software; DISEASE complications
- Subject Terms:
- Abstract: Detecting cognitive impairments early after stroke is essential for appropriate referrals. Although recommended in stroke guidelines, early cognitive screening is not always implemented. We assessed whether the Montreal Cognitive Assessment (MoCA) adds diagnostic value compared to clinical observation alone. In addition, discharge destinations for stroke patients with and without cognitive deficits detected with the screening tool or the treatment team were explored. Forty-four stroke patients were screened with the MoCA during stroke unit admission. Their charts were studied for cognitive impairments reported by the stroke care team, who were blinded to screening scores. Proportions of detected cognitive deficits were compared between screening (score <26) and patient charts. Discharge destination distribution (home vs. rehabilitation) was explored. The proportion of cognitively impaired patients indicated by the MoCA (84%) and reported in patients' charts (25%) differed significantly (p < 0.001). The distribution of discharge destination did not suggest an association with the detection of cognitive deficits by the treatment team or the cognitive screening. The MoCA detects more cognitive deficits than clinical impression alone, emphasizing the importance of standard screening for cognitive impairments in acute stroke patients. Ultimately, systematic screening may enhance discharge planning and improve long-term outcomes. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Brain Injury is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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