Validation of the Telephone Interview of Cognitive Status and Telephone Montreal Cognitive Assessment Against Detailed Cognitive Testing and Clinical Diagnosis of Mild Cognitive Impairment After Stroke

Zietemann, Vera; Kopczak, Anna; Müller, Cláudia; Wollenweber, Frank Arne; Dichgans, Martin

doi:10.1161/strokeaha.117.017519

Cited by 95 publications

(86 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The optimal threshold for MCI is 26 in studies using the English version [15], whereas the optimal threshold is much lower in studies using the Chinese and Korean versions [8,16]. Similarly, in the present study, the optimal threshold of T-MoCA in the overall population was 2 points lower than that in previous studies [5,6]. We also noticed that the optimal threshold in low education group is 1 point lower than that in the high education group.…”

Section: Discussioncontrasting

confidence: 49%

“…Telephone interviewed Montreal Cognitive Assessment (T-MoCA) is a modified version of the MoCA scale. It has been validated as a reasonable screening tool for MCI in post-stroke patients in recent studies [5,6]. Although with reasonable sensitivity and specificity in screening MCI in stroke patients, it has not yet been validated externally in populations with different comorbidities, nor has it been further validated in patients with different education levels.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Validation of T-MoCA in the screening of mild cognitive impairment in Chinese patients with atrial fibrillation

Lai¹,

Jiang²,

Du³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Atrial fibrillation (AF) is associated with high risk of mild cognitive impairment (MCI) and dementia. However, feasible and simple instruments that facilitates regular assessment of cognitive status in AF patients remain underdeveloped. Methods: Cognitive function of 136 AF patients was first evaluated using T-MoCA. Cognitive function of 101 patients was then assessed through in-person interview by physicians who are blinded to telephone interview results, using both Clinical Dementia Rating (CDR) and Mini-Mental Status Evaluation (MMSE). Using CDR=0.5 as a reference standard, the ability of T-MoCA and MMSE to discriminate cognitive dysfunction, stratified by education level, was tested by receiver-operating curve (ROC) analysis. Net reclassification index was calculated for comparison between the performance of T-MoCA and MMSE. Results: Thirty-five MCI patients were identified as MCI using the criteria of CDR=0.5. The areas under the ROC curve of T-MoCA were 0.80 (0.71-0.89), 0.83 (0.71-0.95), and 0.85 (0.64-0.92) for all patients, patients with high educational level, and patients with low education level, respectively. The optimal threshold was achieved at 16/17 with a sensitivity of 85.7% and a specificity of 69.7% in overall patients, 15/16 with a sensitivity of 88.2% and a specificity of 64.5% in the low educational level patients, and 16/17 with a sensitivity of 77.8% and a specificity of 87.9% in the high educational level patients. Compared to the criterion MMSE≤27 and MMSE norms for the Chinese community elderly, stratified T-MoCA threshold improves correct classification by 23.7% (p=0.033) and 30.3% (p=0.020) respectively. Conclusion: T-MoCA is a feasible and effective method for MCI screening in patients with AF.

show abstract

Section: Discussioncontrasting

confidence: 49%

Section: Introductionmentioning

confidence: 99%

Validation of T-MoCA in the screening of mild cognitive impairment in Chinese patients with atrial fibrillation

Lai¹,

Jiang²,

Du³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…일부 환자들에서는 퇴원 후 1년 동안 서서 히 인지기능이 회복되기도 하지만, 30-80%의 퇴원환 자의 인지기능은 입원 이전의 수준으로 회복되지 못하 는 것으로 보고되고 있다 (Davidson, Harvey, Schuller, & Black, 2013;Iwashyna, Ely, Smith, & Langa, 2010). 더욱이 이들의 인지장애는 최대 9년까지도 지 속될 수 있으며 (Kohler et al, 2019), 중환자실 퇴원 후 PICS의 다른 영역 즉 신체적 기능, 정신건강 및 삶 의 질에도 부정적인 영향을 미칠 수 있다 (Wilcox et al, 2013 (Girard et al, 2010;Pandharipande et al, 2013 (Nasreddine et al, 2005;Zietemann et al, 2017). Yi, Bo Kyung : https://orcid.org/0000-0002-3588-4075…”

Section: 국민건강보험 자료에 의하면 2011년부터 2015년까unclassified

Risk Factors for Cognitive Impairment in Intensive Care Unit Survivors

Kang¹,

Yi²

2020

J Korean Crit Care Nurs

View full text Add to dashboard Cite

This study aimed to identify the prevalence and risk factors of cognitive impairment in survivors discharged from the intensive care unit (ICU). Methods : This secondary analysis study utilized data from a multicenter prospective cohort of post-ICU patients. We analyzed the data of 175 patients enrolled in the primary cohort who completed the cognitive function evaluation three months after ICU discharge. Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA) scale. The cutoff points for cognitive impairment were < 23 for face-to-face evaluation and < 18 for telephone evaluation. Results : The prevalence of cognitive impairment three months after ICU discharge was 32.6%. Significant risk factors for cognitive impairment were age ≥ 60 years (OR=10.52, 95% CI=3.65∼30.33, p<.001), education < high school graduation (OR=2.53, 95% CI=1.07∼6.01, p=.035), unplanned ICU admission (OR=4.01, 95% CI=1.45-11.14, p=.008), and delirium in the ICU (OR=4.33, 95% CI=1.08-17.23, p=.038). Conclusion : ICU nurses should use preemptive strategies to reduce post-ICU cognitive impairment of patients with risk factors. It is necessary to frequently assess and detect early delirium in critically ill patients, while attempting various non-pharmacological interventions.

show abstract

“…In their article entitled “Validation of the TICS and T-MoCA against Detailed Cognitive Testing and Clinical Diagnosis of MCI after Stroke”, Zietemann and colleagues [6] provide valuable psychometric information for clinicians who are considering using these measures for the assessment of vascular cognitive impairment (VCI) in patients post-stroke. Cognitive performance was analyzed in 105 patients from the Determinant of Dementia in Stroke cohort, a prospective longitudinal observational study of people who had experienced acute stroke.…”

mentioning

confidence: 99%

“…Zeitemann, Dichgans, and their colleagues have conducted a rigorous analyses of the psychometric properties of these two tests [6]. Both tests perform well in detecting possible MCI with strong sensitivity to cognitive impairment, though the results from this sample suggest that the T-MoCA is probably better.…”

mentioning

confidence: 99%

Using the Telephone Interview for Cognitive Status and Telephone Montreal Cognitive Assessment for Evaluating Vascular Cognitive Impairment

Cohen

Alexander

2017

Stroke

View full text Add to dashboard Cite

Validation of the Telephone Interview of Cognitive Status and Telephone Montreal Cognitive Assessment Against Detailed Cognitive Testing and Clinical Diagnosis of Mild Cognitive Impairment After Stroke

Abstract: Both the TICS and T-MoCA are valid screening tools poststroke, particularly for multidomain MCI using multiple-test definition.

Cited by 95 publications

References 21 publications

Validation of T-MoCA in the screening of mild cognitive impairment in Chinese patients with atrial fibrillation

Validation of T-MoCA in the screening of mild cognitive impairment in Chinese patients with atrial fibrillation

Risk Factors for Cognitive Impairment in Intensive Care Unit Survivors

Using the Telephone Interview for Cognitive Status and Telephone Montreal Cognitive Assessment for Evaluating Vascular Cognitive Impairment

Contact Info

Product

Resources

About