These results caution against the use of one-size-fits-all cutoffs on the MoCA. Data on 157 participants of the Center for Healthy Aging Longevity Study aged 90 + were analyzed. Methods: The MoCA was administered to 2,653 ethnically diverse subjects as part of a population-based study of cardiovascular disease (mean age 50. 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. Objective: To provide normative and descriptive data for the Montreal Cognitive Assessment (MoCA) in a large, ethnically diverse sample. Dementia is when the loss of these functions is severe enough to interfere with daily life.
#Moca scoring norms series#
It does so with a series of timed tests that can accurately assess a persons cognition (meaning ther ability to think, reason, and remember). Discrepancy increased with higher age and lower education level, with the majority being false positives by single cutoffs. The Trail Making Test (TMT) is a simple tool that can be used to screen for dementia. Using classification with norm-derived cutoff scores as reference, locally derived cutoff score of 21/22 yielded a classification discrepancy of ≤42.4%. 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. 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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