Moca cognitive test2/28/2023 ![]() Cognitive function was assessed by OCS-P when participants were admitted to the hospital. Therefore, the study was designed to investigate the cognitive functions of patients with PSCI at admission by using the Chinese (Putonghua) Version of the Oxford Cognitive Screen (OCS-P) as well as to identify the prognostic value of domain-specific cognitive abilities on the recovery of ADLs when discharged.Ī total of 153 hospitalized stroke patients were included in this prospective study. ![]() However, it remains unclear whether ADLs recovery is more susceptible to domain-specific cognitive abilities after a stroke. Poststroke cognitive impairment (PSCI) has been increasingly recognized in patients. These high-risk individuals should be identified for targeted rehabilitation and counseling to improve longer-term post-stroke outcome. Persisting PSCI increased the risk of poor functional outcome after 3 months and 1 year follow-up. The persisting PSCI group was a significant predictor of functional dependence at 3 months and 1 year after stroke and when adjusted for covariates such as gender, age, history of stroke, depression and intracranial atherosclerotic stenosis, stroke subtype and acute infarction type. Of these, 123 patients (15%) had mRS ≥2 at 3 months. There were 818 patients (48.84%) who had PSCI at baseline. We conducted a study to determine the relationship between cognition evaluated by Montreal Cognitive Assessment (MoCA) and poor functional outcomes assessed by the Modified Rankin Scale (mRS) (mRS ≥ 2) and Stroke Impact Scale (SIS)-16(SIS-1622 and MoCA-3 m>22 improved PSCI group: with MoCA-2w ≤ 2 and MoCA-3 m>22 delayed PSCI group: MoCA-2w>22 and MoCA-3 m ≤ 22 persisting PSCI group: with MoCA-2w ≤ 22 and MoCA-3 m ≤ 22.Ī total of 1675 stroke patients were recruited in this study. Minor stroke or transient ischemic attack (TIA) usually have mild and nondisabling symptoms, and these functional deficits may recover fully e.g., TIA, however, part of them still suffer from cognitive impairment and poor outcomes. One day before the patients were discharged, K-MMSE and MBI were. A total score of ≤26 on MoCA indicates cognitive impairment, according to clinical standards. Edu- cational correction is applicable (i.e., one point added for individuals with 12 years of education or less) in total score calculation. MoCA consists of 12 individual tasks grouped into cognitive domains including (1) visuospatial/execu- tive functioning, (2) naming, (3) attention, (4) language, (5) abstraction, (6) memory, and (7) orientation. ![]() The test can be administered by various levels of health care providers. Since K-MoCA differentiates cognition levels in patients with mild de- mentia from those with severe dementia, K-MoCA is more sensitive than K-MMSE in detecting MCI. It can evaluate frontal lobe executive function and abstractive function that cannot be evaluated by conventional cognitive testing tools. MoCA is a cognitive screen- ing tool requiring approximately 10 minutes to adminis- ter ( Fig. ![]() the first day of hospitalization, subjects underwent medical-history submission, physical examination, ac- tivities of daily living (ADL) evaluation using Modified Barthel Index (MBI), and cognition evaluation using the Korean versions of the MMSE (K-MMSE) and the MoCA (K-MoCA, K2-Chuncheon). ![]()
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