Evaluation of cognitive impairment by the Montreal Cognitive Assessment in patients with aneurysmal subarachnoid haemorrhage: prevalence, risk factors and correlations with 3 month outcomes
作者： George Kwok Chu Wong , Sandy Lam , Karine Ngai , Adrian Wong , Vincent Mok
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摘要: Objective Identification of patients with aneurysmal subarachnoid haemorrhage (aSAH) cognitive impairment is important for patient management (medical treatment, rehabilitation and social arrangements). The Montreal Cognitive Assessment (MoCA) currently recommended over the Mini-Mental State Examination (MMSE) by US National Institute Neurological Disorder, in chronic post-stroke setting. We hypothesised that MoCA has a better correlation functional outcome at 3 months than MMSE. Methods carried out prospective observational study Hong Kong 2 year period, recruiting aged 21–75 years aSAH admitted within 96 h ictus. assessments included modified Rankin Scale, Lawton Instrumental Activity Daily Living (IADL), Short Form-36, MMSE after Analyses were to compare Results 90 completed 3 month assessments. (MoCA Conclusions defined was common months correlated outcomes similar, but not superior, registered ClinicalTrials.gov Institutes Health (NCT01038193).
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