Test
Montreal cognitive assessment (MoCA) [11]
Mini mental status exam (MMSE) [12]
Repeatable battery for assessment of neuropsychological status (RBANS) [14]
Dementia rating scale 2 (DRS2) [15]
Cognistat assessment system (formerly called Neurobehavioral cognitive status examination) [16]
Brief cognitive status exam of WMSIV (BCSE) [17]
Neuropsychological assessment battery (NAB) screening module [18]
Modified MMSE (3MSE) [13]
Response
Verbal, writing, drawing
Verbal, writing, drawing
Verbal, writing, drawing
Verbal, drawing, hand movements
Verbal, drawing, writing
Verbal, drawing
Verbal, hand movement, drawing
Assessment target
MCI, CVA, Alzheimer’s, vascular dementia, substance abuse
MCI, dementia, stroke
Brain injury, concussion, dementia, stroke, substance abuse
Dementia
MCI, dementia, stroke
Screens significant cognitive impairment
Adults-severely impaired to intact
Time to administer
10 min
8–20 min
25–30 min
20–30 min
10–30 min
5–10 min
45 min
Cognitive domains
VC, Mem, Attn, VF, Abst, Nm, Or, CD
Orientation, Attn, Nm, VC, Calc, Rep
Attn, Mem, Lang, VC, VF, perseveration
Attn, Lang, Mem, VC, Abst
Attn, Lang, Mem, VC, Abst
Orientation, VC, speed, mental control, CD, Nm, Ri, VF
Attention, language, memory, spatial, executive
Cut-off score
>26/30 = nml
=/> 26/30
By age
By age
Uses a “screen and metric” format with cut-offs for each area
Ave, low ave, borderline, low, very low
Standard scores and %ile
3MSE > 75
Age range
>50
18–85
20–89
≥55
Adol-96
16–90
18–97
3MSE + 65
Sensitivity/specificity
83–92 %
76–84 %
Strong for MCI, cognitive screen
<123 Total score—83 % Alz and Vasc Dem
Ave, mild, mod, severe levels
Borderline and higher not likely to have cognitive impairments
0.95/44-/75 for mod-severe
Improved: <23
18–23 (mild imprmt)
Considerations
Multiple English language versions; French version. Correlates with certain neuropsychological tests
Age, education, and cultural effects
Individual subtest scores available by age (see [10], p. 759); parallel forms
Mayo older adult norms, age and education effects
Stand alone domain scores available
Table 43.2
Orientation assessment
Test | Galveston orientation and amnesia test (GOAT) [19] | Orientation Log (O-Log) [20] | Cognitive Log (Cog-Log) [21] | Confusion assessment method for the ICU (CAM-ICU) [22] |
Response style | Verbal | Verbal | Verbal, hand movement | Yes/no
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