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Validity of the Montreal Cognitive Assessment for traumatic brain injury patients with intracranial haemorrhage.
- Source :
-
Brain injury [Brain Inj] 2013; Vol. 27 (4), pp. 394-8. Date of Electronic Publication: 2013 Mar 08. - Publication Year :
- 2013
-
Abstract
- Unlabelled: BACKGROUND AND PRIMARY OBJECTIVE: In recent years, the Montreal Cognitive Assessment (MoCA) has been developed to assess patients with ischemic stroke. However, it has not been validated for use on traumatic brain injury patients with intracranial haemorrhage (tICH). The aim was to evaluate the psychometric properties of the MoCA (MoCA) in such patients.<br />Research Design and Method: A cross-sectional observational study was carried out on 40 controls and 48 tICH patients recruited in Hong Kong. Concurrent validity was assessed by a comprehensive battery of neuropsychological tests and the Mini-Mental State Examination (MMSE). Criterion validity was assessed by the differentiation of tICH patients from controls.<br />Main Outcome and Results: In tICH patients, cognitive z-scores (β = 0.579; p < 0.001) and MMSE (β = 0.366, p = 0.012) significantly correlated with performance in the MoCA after adjustment for age, gender and total score for the Geriatric Depressive Scale. For the differentiation of tICH patients from controls, analysis of receiver operating characteristics curves in the MoCA revealed an optimal balance of sensitivity and specificity at 25/26 with an area under the curve of 0.704 (p = 0.001). MoCA is applicable to and significantly correlated with excellent neurological outcomes in tICH patients.<br />Conclusions: MoCA is a useful and psychometrically valid tool for the assessment of gross cognitive function in tICH patients.
- Subjects :
- Adolescent
Adult
Aged
Brain Injuries complications
Brain Injuries psychology
Cognition Disorders etiology
Cognition Disorders psychology
Cross-Sectional Studies
Female
Hong Kong epidemiology
Humans
Intracranial Hemorrhages complications
Intracranial Hemorrhages psychology
Male
Mental Status Schedule
Middle Aged
Motor Activity
Psychometrics
ROC Curve
Reproducibility of Results
Sensitivity and Specificity
Affective Symptoms diagnosis
Brain Injuries diagnosis
Cognition Disorders diagnosis
Intracranial Hemorrhages diagnosis
Neuropsychological Tests
Subjects
Details
- Language :
- English
- ISSN :
- 1362-301X
- Volume :
- 27
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Brain injury
- Publication Type :
- Academic Journal
- Accession number :
- 23473067
- Full Text :
- https://doi.org/10.3109/02699052.2012.750746