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Estimates vary as to how many people who have MCI will develop dementia. Roughly one to two out of 10 people age 65 or older with MCI are estimated to develop dementia over a one-year period. However, in many cases, the symptoms of MCI stay the same or even improve.
The MoCA is a shorter screening tool (scored out of 30) that may be more appropriate for an initial assessment of cognition in the ward or community setting. There is an online training module now in place to maintain the validity of the MoCA. This allows you to access and use the assessment.
Can Patients Pass the MoCA Test and Still Have Mild Cognitive Impairment? It is possible that a patient can pass the MoCA test and still have mild cognitive impairment or dementia.
The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation.
The MoCA test is a simple, in-office test that can detect mild cognitive impairment and the early onset of dementia. It does so based on 11 questions that evaluate seven domains of cognitive function. The MoCA has a maximum score of 30, and anything below 26 is a sign of cognitive impairment.
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Its important to remember that test scores may be influenced by a persons level of education. For example, someone who cannot read or write very well may have a lower score, but they may not have dementia. Similarly, someone with a higher level of education may achieve a higher score, but still have dementia.

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