Simple test may help predict long-term outcome after stroke (Science Daily):
“We found that this test, which takes less than 10 minutes, can help predict whether people will have impaired thinking skills, problems that keep them from performing daily tasks such as bathing and dressing and even whether they will be more likely to die,” said study author Martin Dichgans, MD, of Ludwig-Maximilians University in Munich, Germany…The study found that those who had thinking problems within one week of the stroke were seven times more likely to die during the three years of the study than those who did not have thinking problems. The survival rate for those with thinking problems after three years was 83 percent, while the rate was 97 percent for those with no thinking problems early on.
Those with thinking problems on the first test were also five times more likely to have problems with their motor skills than those who did not have thinking problems early on. By three years after the stroke, 29 percent of those with thinking problems on the first test had problems with their motor skills, compared to 5 percent of those who did not have thinking problems early on.”
Early MoCA predicts long-term cognitive and functional outcome and mortality after stroke (Neurology). From the abstract:
- Objective: To examine whether the Montreal Cognitive Assessment (MoCA) administered within 7 days after stroke predicts long-term cognitive impairment, functional impairment, and mortality.
- Conclusion: Early cognitive testing by MoCA predicts long-term cognitive outcome, functional outcome, and mortality after stroke. Our results support routine use of the MoCA in stroke patients.