Comparison of three cognitive exams in cardiac arrest survivors

Resuscitation
Allison C KollerPost-Cardiac Arrest Service

Abstract

Cognitive deficits may detract from quality of life after cardiac arrest. Their pattern and prevalence are not well documented. We used the Computer Assessment of Mild Cognitive Impairment (CAMCI), the Montreal Cognitive Assessment (MOCA) and the 41 Cent Test (41CT) to assess cognitive impairment in cardiac arrest survivors and examine the exams' diagnostic accuracy. We hypothesized that the scores of these exams would indicate the presence of cognitive impairment in arrest survivors, that the overall scores on the three study assessments would correlate with one another, and that the 41CT, MOCA, and executive function element of the CAMCI would vary independently from other non-executive CAMCI components, reflecting executive function impairment after cardiac arrest. Four researchers administered the CAMCI, MOCA, and/or the 41CT to cardiac arrest survivors after discharge from the intensive care unit between 2010 and 2015. Physicians screened patients with the Mini-Mental State Exam to determine when this cognitive testing was feasible, generally when the patient was able to score 20-25 points on the MMSE. We performed pairwise correlations between the different subscales' and tests' scores. One hundred and fourteen participan...Continue Reading

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Citations

Oct 14, 2017·Therapeutic Hypothermia and Temperature Management·Patrick LydenFred Rincon
Oct 14, 2017·Therapeutic Hypothermia and Temperature Management·Jon RittenbergerKees H Polderman
Apr 26, 2019·Current Opinion in Critical Care·Liesbeth W BoyceCaroline M van Heugten
Apr 26, 2019·Current Opinion in Critical Care·Erik Blennow Nordström, Gisela Lilja
Jul 12, 2019·Circulation·Romergryko G GeocadinUNKNOWN American Heart Association Emergency Cardiovascular Care Committee
Sep 15, 2018·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·L W BoyceL van Bodegom-Vos
Nov 30, 2019·Emergency Medicine International·Soo Hyun KimTaek Hun Kim

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