![]() ![]() Moreover, MMSE domain subtest scores could not differentiate between groups of differing screening test results, whilst MoCA domain subtest scores (Visuospatial/Executive Function, Attention and Recall) could. By comparison, only 2 out of the 41 (4.9%) patients with unimpaired MoCA scores had impaired MMSE scores. Of the 57 patients with unimpaired MMSE scores, 18 (32%) patients had an impaired MoCA score. Cognitive and neurological measures were administered after informed consent. Methods: Stable patients within 14 days of their index stroke without signi fi cant physical disability, aphasia, dysarthria, active psychiatric illness or pre-existing dementia were eligible. ![]() The Montreal Cognitive Assessment (MoCA) was designed to be more sensitive to such de fi cits and may therefore be a superior screening instrument for VCIND. The Mini-Mental State Examination (MMSE) has been criticized as a poor screening test for VCIND due to insensitivity to visuospatial and executive function impairments. The Montreal Cognitive Assessment (MoCA) is superior to the Mini-Mental State Examination (MMSE) for the detection of vascular cognitive impairment after acute stroke YanHong Dong a, d, Vijay Kumar Sharma a, Bernard Poon-Lap Chan a, Narayanaswamy Venketasubramanian a, Hock Luen Teoh a, Raymond Chee Seong Seet a, Sophia Tanicala a, Yiong Huak Chan b, Christopher Chen c, ⁎ a Department of Medicine, National University Health System, Singapore b Biostatistics Unit,Yong Loo Lin School of Medicine, National University of Singapore, Singapore c Department of Pharmacology, National University Health System, Singapore d School of Psychiatry, University of New South Wales, NSW, Australia abstract article info Article history: Received 26 April 2010 Received in revised form 25 August 2010 Accepted 25 August 2010 Keywords: Vascular cognitive impairment no dementia Stroke Vascular cognitive impairment Dementia Background: The majority of patient with post-stroke Vascular Cognitive Impairment (VCI) have Vascular Cognitive Impairment No Dementia (VCIND). ![]()
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