Misty A W Hawkins1, Emily C Gathright2, John Gunstad2, Mary A Dolansky3, Joseph D Redle4, Richard Josephson5, Shirley M Moore3, Joel W Hughes6. 1. Department of Psychological Sciences, Kent State University, Kent, OH 44242, USA. Electronic address: mhawki15@kent.edu. 2. Department of Psychological Sciences, Kent State University, Kent, OH 44242, USA. 3. Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106, USA. 4. Cardiovascular Institute, Summa Health System, Akron City Hospital, Akron, OH 44307, USA. 5. School of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA; Harrington Heart & Vascular Institute, University Hospitals, Cleveland, OH, USA. 6. Department of Psychological Sciences, Kent State University, Kent, OH 44242, USA; Department of Psychiatry, Summa Health System, Akron City Hospital, Akron, OH 44307, USA.
Abstract
OBJECTIVE: To examine the ability of the Mini Mental Status Examination (MMSE) and Montreal Cognitive Assessment (MoCA) to detect cognitive impairment in persons with heart failure (HF). BACKGROUND: Although the MMSE and MoCA are commonly used screeners in HF, no research team has validated their performance against neuropsychological testing. METHODS: Participants were 106 patients with HF (49.1% male, 68.13 ± 9.82 years) who completed the MoCA, MMSE, and a full neuropsychological battery. Sensitivity and specificity were examined. Discriminant function analyses tested whether the screeners correctly detected cognitive impairment. RESULTS: A MoCA score <25 and MMSE score of <28 yielded optimal sensitivity/specificity (.64/.66 and .70/.66, respectively). The MoCA correctly classified 65% of patients, Wilk's lambda = .91, χ(2)(1) = 9.89, p < .01, and the MMSE correctly classified 68%, Wilk's lambda = .87, χ(2)(1) = 14.26, p < .001. CONCLUSIONS: In HF, both the MoCA and MMSE are useful in identifying the majority of patients with and without cognitive impairment. Both tests misclassified approximately one-third of patients, so continued monitoring and evaluation of patients is needed in conjunction with screening.
OBJECTIVE: To examine the ability of the Mini Mental Status Examination (MMSE) and Montreal Cognitive Assessment (MoCA) to detect cognitive impairment in persons with heart failure (HF). BACKGROUND: Although the MMSE and MoCA are commonly used screeners in HF, no research team has validated their performance against neuropsychological testing. METHODS:Participants were 106 patients with HF (49.1% male, 68.13 ± 9.82 years) who completed the MoCA, MMSE, and a full neuropsychological battery. Sensitivity and specificity were examined. Discriminant function analyses tested whether the screeners correctly detected cognitive impairment. RESULTS: A MoCA score <25 and MMSE score of <28 yielded optimal sensitivity/specificity (.64/.66 and .70/.66, respectively). The MoCA correctly classified 65% of patients, Wilk's lambda = .91, χ(2)(1) = 9.89, p < .01, and the MMSE correctly classified 68%, Wilk's lambda = .87, χ(2)(1) = 14.26, p < .001. CONCLUSIONS: In HF, both the MoCA and MMSE are useful in identifying the majority of patients with and without cognitive impairment. Both tests misclassified approximately one-third of patients, so continued monitoring and evaluation of patients is needed in conjunction with screening.
Authors: Raymond L C Vogels; Joukje M Oosterman; Barbera van Harten; Philip Scheltens; Wiesje M van der Flier; Jutta M Schroeder-Tanka; Henry C Weinstein Journal: J Am Geriatr Soc Date: 2007-08-28 Impact factor: 5.562
Authors: Susan S Xie; Carly M Goldstein; Emily C Gathright; John Gunstad; Mary A Dolansky; Joseph Redle; Joel W Hughes Journal: Heart Lung Date: 2015 Sep-Oct Impact factor: 2.210
Authors: Mary A Dolansky; Misty A W Hawkins; Julie T Schaefer; John Gunstad; Abdus Sattar; Joseph D Redle; Anton Vehovec; Richard Josephson; Shirley M Moore; Joel W Hughes Journal: J Cardiovasc Nurs Date: 2017 Nov/Dec Impact factor: 2.083
Authors: Misty A W Hawkins; Mary A Dolansky; Jennifer B Levin; Julie T Schaefer; John Gunstad; Joseph D Redle; Richard Josephson; Joel W Hughes Journal: Heart Lung Date: 2016 Sep-Oct Impact factor: 2.210
Authors: Laura S Redwine; Meredith A Pung; Kathleen Wilson; Katherine J Bangen; Lisa Delano-Wood; Barry Hurwitz Journal: J Psychosom Res Date: 2019-11-26 Impact factor: 3.006