Géraud Dautzenberg

Validating the MoCA for triaging

Table 4. Sensitivity and Specificity at MoCA scores from 18 through 26 Sensitivity Specificity Cut-off value† MCI+SNoCI No Dementia MCI

SNoCI

Dementia 18 19 20 21 22 23 24 25 26

54% 62% 78% 90% 91% 95% 98% 98% 98% 30% 33% 43% 56% 65% 75% 84% 91% 95% 17% 18% 25% 37% 50% 65% 77% 88% 94%

86% 84% 77% 65% 55% 43% 34% 24% 17%

83% 82% 75% 63% 50% 35% 24% 12% 6%

93% 89% 82% 73% 67% 67% 64% 55% 47% 93% 89% 82% 73% 67% 67% 64% 55% 47% 93% 89% 82% 73% 67% 67% 64% 55% 47%

4

CI (Dem+MCI) 18 19 20 21 22 23 24 25 26

MCI 18 19 20 21 22 23 24 25 26

†(MoCA-D below score) Dem: Dementia; MCI: MildCognitive impairment; SNoCI: Suspectedpatients noCognitive Impairment; HC: Healthy Controls; CI; Cognitive Impairment (Dem + MCI). 4.4 Discussion Our aim was to test the criterion validity of the MoCA for MCI and MD in patients suspected of CI and intended to be referred for a comprehensive diagnostic route in an old age psychiatry memory clinic. We did this because, to our knowledge, no previous study has looked at the criterion validity of the MoCA being used as an add-on i.e. as a (secondary) objective test, after initial assessment in this setting. This is important as it involves a considerable and

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