MoCA use in general practice for the early detection of cognitive impairment.

IF 2.5 Q2 PRIMARY HEALTH CARE

BJGP Open Pub Date : 2024-08-21 DOI:10.3399/BJGPO.2024.0039

Cassandre Carton, Matthieu Calafiore, Charles Cauet, Nassir Messaadi, Marc Bayen, David Wyts, Wassil Messaadi, Teddy Richebe, Sabine Bayen

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Abstract

Background: GPs can detect cognitive impairment at a very early stage, allowing early support for people and their caregivers. The early onset of cognitive impairment is between 50 and 60 years. Currently, in France, the Mini Mental State Examination remains the most used screening test, though it has a lower sensitivity and specificity than the Montreal Cognitive Assessment (MoCA) for detecting mild cognitive impairment, taking an average of 15 minutes to complete.

Aim: To investigate the feasibility of the MoCA during routine consultations in general practice for the early detection of cognitive impairment and to determine prevalence of cognitive impairment in a primary care setting.

Design & setting: A quantitative, prospective feasibility study was carried out in real-life working condition during routine consultation.

Method: GPs performed MoCA on adults aged 50 years and older, without suspected or confirmed cognitive impairment.

Results and conclusion: 61 GPs performed 221 MoCA with a mean duration of 8 minutes and detected mild neurocognitive impairment in 62% of patients. The MoCA is feasible and easy to perform during routine consultations in general practice by trained and experienced physicians.

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在全科诊疗中使用 MoCA 早期检测认知障碍。

背景：全科医生可以在很早的阶段发现认知障碍，从而为患者及其护理人员提供早期支持。认知障碍的早期发病年龄在 50 岁至 60 岁之间。目前，在法国，迷你精神状态检查（Mini Mental State Examination）仍是最常用的筛查测试，但在检测轻度认知障碍方面，它的灵敏度和特异性均低于蒙特利尔认知评估（MoCA），而且完成这项测试平均需要 15 分钟：方法：全科医生在常规咨询过程中对年龄在18岁以上的成年人进行MoCA测试：结果与结论：61 名全科医生进行了 221 次 MoCA，平均持续时间为 8 分钟，发现 62% 的患者存在轻度神经认知障碍。在全科医生的常规诊疗过程中，由训练有素、经验丰富的医生进行 MoCA 是可行且简便的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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