“Scores on most cognitive tests, including the MoCA, are correlated with educational attainment, and our data were consistent with these previous findings.
While patients with higher education tended to have higher MoCA scores, the researchers found that that higher educational attainmentdid not always translate into higher cognitive performance. With that cutoff score of 26, 65% of patients had an abnormal score on at least 1 test. With a maximum score of 30, the median MoCA score across the patients was 25, falling short of the score many research groups classify as normal (26). 03) but not with baseline hemoglobin ( P =. 07).Įxploring the impact of various clinical characteristics with scores, the researchers found that median MoCA scores were associated with overt stroke ( P =. 001).Īssociations between MoCA scores and scores of the sentence comprehension subset of WRAT-4 neared significance (𝛽 = 0.09 95% CI, −0.01 to 0.19, P =. In their study, median MoCA scores were associated with the reading subset of the Wide Range Achievement Test, fourth edition (WRAT-4) literacy testscores (𝛽 = 0.13 95% CI, 0.06–0.21, P = 0.002) and the Shortened Test of Functional Health Literacy in Adults (S-TOFHLA) health literacy test scores (𝛽 = 0.44 95% CI, 0.20–0.68, P =. In the interim, our work adds to the limited literature describing the performance of adults with SCD on the MoCA, which helps clinicians and researchers interpret results.” There are no norms guiding interpretation of MoCA scores among adults with SCD,” urged the researchers, emphasizing the limited sample size of their pilot study.“Future studies should compare MoCA scores to the gold standard of neuropsychological testing and examine the utility of adjusting for educational attainment. “Future studies should also assess the relationship between MoCA scores, other cognitive domains, and advanced activities of daily living in adults with SCD. According to the researchers, their findings are the first to draw a connection between MoCA scores and literacy and health literacy in a US cohort. A new pilot study is suggesting that a cognitive assessment tool commonly used across chronic diseases can potentially be used to screen for cognitive impairment in patients with sickle cell disease (SCD).Īmong their sample cohort of 49 patients, the researchers, writing in the British Journal of Haematology, found that scores on the Montreal Cognitive Assessment (MoCA) correlated with measures of both literacy and health literacy.
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