Unrecognised Cognitive Impairment in Patients with Cardiovascular Disease and Diabetes

Screening for mild cognitive impairment in patients with heart failure: Montreal Cognitive Assessment versus Mini Mental State Exam

“…Other investigators 40 have recently examined the differences between the MMSE and MoCA in screening for MCI in CHF patients. However, the investigators 33 used a cut-off score ≤24 for the MMSE to define cognitive impairment and testing had not been conducted in the acute care hospital setting. Although there were differences in the proportions of participants having low cognitive scores on the MMSE compared with the MoCA, this difference was not statistically significant, 40 but has implications of clinical significance.…”

“…17 In the instrument development study, 17 the MoCA had higher sensitivity compared with MMSE at detecting MCI (90% vs. 18%, respectively). Subsequently, this tool has been shown to be a sensitive screening measure for MCI in patients with cardiovascular disease, 33,34 in patients with CHF 35 and cohorts with neurocognitive problems. 36–38 Total possible score is 30 and the cut-score for MCI is 26.…”