The mini-mental state examination and the Montreal Cognitive Assessment after traumatic brain injury: an early predictive study

Brain Inj. 2013;27(12):1428-34. doi: 10.3109/02699052.2013.835867. Epub 2013 Oct 8.

Abstract

Primary objective: To compare results on the Montreal Cognitive Assessment (MoCA) to those on the Mini-Mental State Examination (MMSE) in patients with traumatic brain injury (TBI) and to predict the outcome at discharge from the acute care setting.

Research design: A retrospective study.

Methods and procedures: The MoCA and the MMSE were administered to 214 patients with TBI during their acute care hospitalization in a Level I trauma centre. Outcome was measured with the Disability Rating Scale (DRS).

Main outcomes and results: A linear regression determined that the MoCA, the MMSE, TBI severity, education level and presence of diffuse injuries predicted 57% of the total variability of the DRS scores. The model without the MMSE had a R2 of 53.7% and the model without the MoCA had a R2 of 55.0%. The models without the MMSE or the MoCA had a R2 of 24.9%.

Conclusions: These results indicated that the MoCA and the MMSE function as similar predictors of the DRS at discharge.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Brain Injuries / epidemiology
  • Brain Injuries / psychology*
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / epidemiology
  • Cognition Disorders / etiology*
  • Cognition Disorders / psychology
  • Disability Evaluation*
  • Educational Status
  • Female
  • Glasgow Coma Scale
  • Humans
  • Linear Models
  • Male
  • Mental Status Schedule*
  • Middle Aged
  • Neuropsychological Tests
  • Predictive Value of Tests
  • Prognosis
  • Quebec / epidemiology
  • ROC Curve
  • Reproducibility of Results
  • Retrospective Studies
  • Sensitivity and Specificity
  • Stroke / epidemiology
  • Stroke / psychology*