![]() ![]() Conclusions: The results of the study show that the Brazilian version of MoCA is a reliable cognitive tracking tool and is accurate for the detection of MCI and early stage AD, with good applicability on the elderly with education equal to or more than 4 years and adequate to discriminate between cognitively healthy elderly, and those with MCI and mild, proving to be superior to MMSE in tracking MCI and similar to this test when tracking mild AD. This test has a maximum value of 30 points and can be administered in 10 minutes. The area under curve of the receiver operating characteristics curve was 0.95, when evaluating the ability of MoCA-BR to discriminate between the elderly with cognitive impairment and cognitively healthy elderly. used for the cognitive evaluation of the patients with PD to identify the presence of cognitive deficit when the MMSE score is normal. The inter-examiner reliability was excellent (ICC 0.96). Healthcare professionals can interpret the level of impairment based on. The test-retest reliability was elevated, with intraclass correlation coefficient (ICC) 0.91. Summary The Montreal Cognitive Assessment (MoCA) test can detect mild cognitive impairment or early signs of dementia. The Cronbach alpha for MoCA-BR was 0.77, indicating a good internal consistency. ![]() Results: There was a significant statistical difference between the MoCA-BR scores of the elderly and the control group, MCI, and mild AD ( p < 0.001). The elderly were classified into control, MCI, and mild AD groups. To select the sample, the clinical history of the elderly, Pfeffer Functional Activities Questionnaire, and neuropsychological battery, apart from MMSE and MoCA-BR cognitive tests, were selected. In all, 229 elderly participated in the study. Method: A transversal study was performed in 4 reference medical centers that care for the elderly. APPLICATION Pour les établissements de soins de santé et les chercheurs disposant dune capacité dappareil mobile. We recommend the use of this cutoff score going forward. A MoCA cutoff score of 23, rather than the initially recommended score of 26, lowers the false positive rate and shows overall better diagnostic accuracy. Objective: To evaluate the applicability and the psychometric properties of Montreal Cognitive Assessment Brazilian Version (MoCA-BR) in the elderly, as well as comparing its accuracy as a tracking test for mild cognitive impairment (MCI) and mild Alzheimer’s disease (AD) with the accuracy of Mini-Mental State Examination (MMSE). Multiple regression analysis showed that 10.3 of the variation in the MoCA score was accounted for by the Expanded Disability Status Scale (EDSS) total score. Meta-analysis revealed a cutoff score of 23/30 yielded the best diagnostic accuracy across a range of parameters. ![]()
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