![]() So the whole trajectory for normal young, normal old and MCI are in the 30 – 26 range for the SMMSE and MoCA. These are described as ceiling effects, which are most evident with the traditional cut-offs used with instruments such as the Standardised Mini-Mental State Examination (SMMSE), (<24/30) and Montreal Cognitive Assessment (MoCA), (<26/30). In some tests like the MoCA and SMMSE, a few points can make the difference between a diagnosis of ‘normal’ or ‘dementia’. Longer tests are impractical for most clinicians who don’t have enough time to perform these tests routinely. The challenge with most cognitive screening instruments is that they take time to administer. Is the Quick Mild Cognitive Impairment Screen (QMCI) more accurate at detecting mild cognitive impairment than existing short cognitive screening tests? A systematic review of the current literature International Journal of Geriatric Psychiatry. It has better sensitivity and specificity at differentiating MCI from dementia than the SMMSE but a marginally lower sensitivity than the MoCA, with superior specificity at the chosen cut‐off score" ![]() Glynn et al (2019) states "that the QMCI has superior sensitivity, specificity, positive, and negative predictive values to the MoCA and SMMSE at detecting MCI or any form of cognitive impairment (CI/dementia). Alzheimer Disease and Associated Disorders.) Comparison of the Accuracy of Short Cognitive Screens Among Adults With Cognitive Complaints in Turkey. (Varan, H.D., Kizilarslanoglu, M.C., Balci, C., Deniz, O., Coteli, S., Dogrul, R.T., Aycicek, G.S., Kilic, M.K., O'Caoimh, R., Molloy, D.W. 0.76, P=0.004) and the Qmci-TR and Mini-Mental State Examination were superior to the MoCA in discriminating SCC from aMCI and AD. Varan et al (2020) notes that the Qmci-TR was more accurate than the MoCA in distinguishing between aMCI and AD (area under the curve=0.83 vs. It hasĪlso been validated against a variety of functional and global measures ofĬognition including the Barthel Index and Clinical Dementia Rating scale (CDR). Other short cognitive screens including the Standardized Mini Mental StateĮxamination (SMMSE), the Montreal Cognitive Assessment (MoCA) and the Six-itemĬognitive Impairment Test as well as more comprehensive batteries such as theĪlzheimer’s Disease Assessment Scale – cognitive subscale (ADAS-Cog). It has also been used in differentĭementia subtypes, and validated in multiple languages. General practice and rehabilitation hospitals to develop a shorter, moreĮfficient and easy to use cognitive screen. The Q mci screen was developed in 2003 using data fromĪ wide variety of sources: memory clinics, clinical trials, the community,
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