• Internal medicine journal · Aug 2019

    Comparative Study

    Comparing the Montreal Cognitive Assessment and Rowland Universal Dementia Assessment Scale in a multicultural rehabilitation setting.

    • Andrew Emerson, Poorani Muruganantham, Min Y Park, Deren Pillay, Nikhil Vasan, Seong J Park, Kim L Van, Preethi Pampapathi, Cui S Seow, and Siu-Ming Yau.
    • Department of Geriatric Medicine, Westmead Hospital, Sydney, New South Wales, Australia.
    • Intern Med J. 2019 Aug 1; 49 (8): 1035-1040.

    AbstractIn Australia it is recommended that all older people undergoing rehabilitation have a cognitive screen. We performed a longitudinal study comparing the correlation of two cognitive screening tools - the Rowland Universal Dementia Assessment Scale (RUDAS) and Montreal Cognitive Assessment (MoCA) with discharge outcomes in a geriatric inpatient setting. The RUDAS cut-off (<23/30) was associated with discharge to a nursing home (sensitivity 52%, specificity 70%). This was also noted with a MoCA cut-off <18/30 (sensitivity 57%, specificity 69%). Furthermore the association between the RUDAS and discharge destination was independent of its association with the Functional Independence Measure (r = 0.116; P = 0.275) and had a shorter administration time. Both RUDAS and MoCA scores could be used as predictors of discharge destination in a multicultural population.© 2019 Royal Australasian College of Physicians.

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