7/28/2023 0 Comments Moca score cutoffsThese results caution against the use of one-size-fits-all cutoffs on the MoCA. With the 25/26 cutoff of the original MoCA, discrepancy further increased to ≤74.3%.Ĭonventional single cutoff scores are associated with substantially high rates of misclassification especially in older and less-educated patients with stroke. Discrepancy increased with higher age and lower education level, with the majority being false positives by single cutoffs. Using classification with norm-derived cutoff scores as reference, locally derived cutoff score of 21/22 yielded a classification discrepancy of ≤42.4%. Nasreddine’s research focuses primarily on Alzheimer's and cognitive impairment diseases. He is also director of the MoCA Clinic and Institute in Quebec. Only 65.1% and 25.7% healthy controls and 45.2% and 19.0% patients scored above the conventional cutoff scores of 21/22 and 25/26 on the MoCA. Nasreddine, MD, FRCP (C), is an assistant clinical professor at both McGill University and the University of Sherbrooke in Quebec, Canada. The norms for the Hong Kong version of the MoCA total and domain scores and the total score of the MoCA 5-minute protocol are described. MoCA performance in 919 patients with stroke or transient ischemic attack was classified using the single and norm-derived cutoff scores. Cutoff scores at 16th, 7th, and 2nd percentiles by age and education were derived for the MoCA and MoCA 5-minute Protocol. magnetic resonance imaging was used to exclude healthy controls with significant brain pathology and medial temporal lobe atrophy. MoCA norms were collected from 794 functionally independent and stroke- and dementia-free persons aged ≥65 years. The objective of this study is to examine the discrepancy between single versus age and education corrected cutoff scores in classifying performance on the Montreal Cognitive Assessment (MoCA) in patients with stroke or transient ischemic attack.
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