Table 2 Discriminative abilities of the newly defined MoCAraw (new) and the original MoCA(+1) (original) cutoffs stratified by age and education groups.

From: Improving diagnostic accuracy of the Montreal Cognitive Assessment to identify post-stroke cognitive impairment

Age

 < 55 years old [22–54] (n = 65)

55–70 years old [55–70] (n = 119)

 > 70 years old [70–98] (n = 167)

Years of education

 ≤ 12 (n = 24)

 > 12 (n = 41)

 ≤ 12 (n = 47)

 > 12 (n = 72)

 ≤ 12 (n = 93)

 > 12 (n = 74)

PSCI prevalence, %

83.3

56.1

85.1

59.7

75.5

66.2

MoCA(+1) (median, IQR)

25 (22–27)

28 (26–28)

23 (19.5–27)

26 (24–27)

22 (18–25)

25 (22–26.8)

MoCA cutoff

new, 26a

original, 26

new, 28

original, 26

new, 26a

original, 26

new, 26

original, 26

new, 22

original, 26

new, 25

original, 26

AUC

0.763

0.675

0.818

0.674

0.898

0.887

0.811

0.811

0.827

0.707

0.781

0.718

Sensitivity, %

75.0

60.0

69.6

34.8

82.5

77.5

65.1

65.1

61.6

86.3

63.3

75.5

Specificity, %

75.0

75.0

77.8

100.0

100.0

100.0

82.8

82.8

90.0

55.0

84.0

68.0

LR+ (95% CI)

3.00 (0.54–16.69)

2.40 (0.42–13.60)

3.14 (1.27–7.74)

Infinite

Infinite

Infinite

3.78 (1.65–8.63)

3.78 (1.65–8.63)

6.16 (1.63–23.24)

1.92 (1.17–3.14)

3.96 (1.57–9.95)

2.36 (1.30–4.27)

LR− (95% CI)

0.33 (0.13–0.86)

0.53 (0.24–1.16)

0.39 (0.20–0.76)

0.65 (0.48–0.88)

0.18 (0.09–0.34)

0.23 (0.13–0.40)

0.42 (0.27–0.65)

0.42 (0.27–0.65)

0.43 (0.31–0.59)

0.25 (0.12–0.50)

0.44 (0.29–0.66)

0.36 (0.21–0.63)

Youden Index

0.50

0.35

0.47

0.35

0.83

0.78

0.48

0.48

0.52

0.41

0.47

0.43

False negative rate, %

25.0

40.0

30.4

65.2

17.5

22.5

34.9

34.9

38.4

13.7

36.7

24.5

False positive rate, %

25.0

25.0

22.2

0.0

0.0

0.0

17.2

17.2

10.0

45.0

16.0

32.0

Accuracy, %

75.0

62.5

73.2

63.4

85.1

80.9

72.2

72.2

67.7

79.6

70.3

73.0

  1. Abbreviations: AUC, area under the receiver operating characteristic curve; IQR, interquartile range; LR+, Likelihood ratio for positive results; LR−, Likelihood ratio for negative results; MoCA, Montreal Cognitive Assessment; original, MoCA(+1)-score with correction for years of education (+ 1 if years of education ≤ 12); new, MoCAraw-score without correction for years of education. aPlease note, that the new MoCAraw cutoff < 26 differs from the original MoCA(+1) cutoff of < 26 as we did not add + 1 to the raw score for patients with lower education.