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Based on the results of a 2019 Cochrane meta-analysis of available studies the ACE-III should only be used as an adjunct to a full clinical assessment and not alone for the screening of dementia or mild cognitive impairment in patients presenting with or at risk for cognitive decline. [14]
Researchers from Murdoch University have developed a screening test where people self-report their concerns in six different cognitive areas to help determine a person’s dementia risk.
The Montreal Cognitive Assessment (MoCA) is a widely used screening assessment for detecting cognitive impairment. [1] It was created in 1996 by Ziad Nasreddine in Montreal , Quebec . It was validated in the setting of mild cognitive impairment (MCI), and has subsequently been adopted in numerous other clinical settings.
Dementia testing is often done by way of testing the cognitive functions that are most often impaired by the disease e.g. memory, orientation, language and problem solving. The Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog)
The test was studied in 1,201 older adults in the Bronx, New York with cognitive concerns. Of the study participants, 72% of people were women, and 94% were Black and/or Hispanic/Latino.
The user/general practitioner is asked to conduct the informant interview. Someone scoring 4 points or less is very likely to have cognitive impairment. There is no need to complete the informant interview. However, the conduction of standard investigations such as lab tests is required to rule out reversible causes of cognitive impairment.