Hao Zhang,Xiao-Nian Zhang,Hui-Li Zhang,Liang Huang,Qian-Qian Chi,Xin Zhang,Xiao-Ping Yun.[J].中华创伤杂志英文版,2016,19(5):271-274
Differences in cognitive profiles between traumatic brain injury and stroke: A comparison of the Montreal Cognitive Assessment and Mini-Mental State Examination
  
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KeyWord: Montreal Cognitive Assessment Mini-Mental State Examination Cognitive impairment Cognitive assessment Brain injuries Stroke
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Author NameAffiliation
Hao Zhang Neurorehabilitation Department, Beijing Bo'ai Hospital, China Rehabilitation Research Center, School of Rehabilitation, Capital Medical University, Beijing 100068, China 
Xiao-Nian Zhang Neurorehabilitation Department, Beijing Bo'ai Hospital, China Rehabilitation Research Center, School of Rehabilitation, Capital Medical University, Beijing 100068, China 
Hui-Li Zhang Rehabilitation Evaluation Department, Beijing Bo'ai Hospital, China Rehabilitation Research Center, School of Rehabilitation, Capital Medical University, Beijing 100068, China 
Liang Huang Rehabilitation Department, Huabei Oil Field Huayuan Hospital, Hejian 062450, Hebei, China 
Qian-Qian Chi Neurorehabilitation Department, Beijing Bo'ai Hospital, China Rehabilitation Research Center, School of Rehabilitation, Capital Medical University, Beijing 100068, China 
Xin Zhang Neurorehabilitation Department, Beijing Bo'ai Hospital, China Rehabilitation Research Center, School of Rehabilitation, Capital Medical University, Beijing 100068, China 
Xiao-Ping Yun Rehabilitation Evaluation Department, Beijing Bo'ai Hospital, China Rehabilitation Research Center, School of Rehabilitation, Capital Medical University, Beijing 100068, China 
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Abstract:
      Purpose: To investigate the profiles of cognitive impairment through Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) in patients with chronic traumatic brain injury (TBI) or stroke and to evaluate the sensitivity of the two scales in patients with TBI. Methods: In this cohort study, a total of 230 patients were evaluated, including TBI group (n ¼ 103) and stroke group (n=127). The cognitive functions of two groups were evaluated by designated specialists using MoCA (Beijing version) and MMSE (Chinese version). Results: Compared with the patients with stroke, the patients with TBI received significantly lower score in orientation subtest and recall subtest in both tests. MoCA abnormal rates in the TBI group and stroke group were 94.17% and 86.61% respectively, while MMSE abnormal rates were 69.90% and 57.48%, respectively. In the TBI group, 87.10% patients with normal MMSE score had abnormal MoCA score and in the stroke group, about 70.37% patients with normal MMSE score had abnormal MoCA score. The diagnostic consistency of two scales in the TBI group and the stroke group were 72% and 69%, respectively. Conclusion: In our rehabilitation center, patients with TBI may have more extensive and severe cognitive impairments than patients with stroke, prominently in orientation and recall domain. In screening postTBI cognitive impairment, MoCA tends to be more sensitive than MMSE.
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