Role of comprehensive geriatric assessment in screening for mild cognitive disorders

Table 1 Montreal cognitive assessment results

MoCA results	Study group	Control group
Normal	30	7
Mild cognitive impairment	8	55
Total	38	62

MoCA: Montreal cognitive assessment.

Table 2 Comprehensive geriatric assessment results

CGA results	Study group	Control group
Mild cognitive impairment	36	4
Normal	2	58
Total	38	62

CGA: Comprehensive geriatric assessment.

Table 3 Baseline patient profiles

	Control group, n = 62	Study group, n = 38	t value	P value
Sex
Male	41	25	-	-
Female	21	13	-	-
Age (yr) (mean)	62-80 (71.84 ± 7.21)	61-79 (71.52 ± 7.36)	0.214	0.831
BMI (kg/m2) (mean)	20-26 (24.18 ± 2.11)	20-26 (24.21 ± 2.07)	0.070	0.944
Education level
Illiterate	5	2	-	-
Primary school	18	11	-	-
Junior high school	25	16	-	-
High school and above	14	9	-	-

BMI: Body mass index.

Table 4 Correlation of baseline profiles and cognitive function

	B	SE	B’	t value	P value
Sex	-1.612	2.705	-0.079	-0.521	0.511
Age	-0.154	0.088	-0.227	1.794	0.094
BMI	0.012	0.069	0.034	0.314	0.807
Education level	0.714	0.763	0.185	0.894	0.352

BMI: Body mass index.

Table 5 Montreal cognitive assessment scores

	Control group	Study group	t value	P value
n	62	38	-	-
MoCA scores	26.88 ± 2.14	20.86 ± 2.56	12.663	< 0.001

MoCA: Montreal cognitive assessment.

Table 6 Comprehensive geriatric assessment scores

	Control group, n = 62	Study group, n = 38	t value	P value
GDS	9.61 ± 3.98	10.05 ± 3.88	0.542	0.589
GAI	3.62 ± 3.25	3.44 ± 3.18	0.271	0.787
MMSE	28.85 ± 1.85	26.05 ± 1.27	8.212	< 0.001
MNA	22.51 ± 4.14	19.14 ± 3.52	4.176	< 0.001
ADL	17.25 ± 2.62	19.58 ± 2.14	4.616	< 0.001
IADL	10.52 ± 3.51	12.88 ± 3.54	3.253	0.002
FRAIL	1.25 ± 0.25	1.89 ± 0.57	7.728	< 0.001
BBS	44.52 ± 7.98	39.21 ± 8.11	3.210	0.002
FRAF	2.62 ± 1.25	2.68 ± 1.31	0.229	0.819
PAGAR	8.29 ± 2.58	8.33 ± 2.49	0.076	0.940

CGA: Comprehensive geriatric assessment; GDS: Geriatric depression scale; GAI: Geriatric anxiety inventory; MMSE: Mini-mental state examination; MNA: Miniature nutritional assessment; ADL: Activity of daily living scale; IADL: Instrumental activities of daily living scale; FRAIL: Frailty screening inventory; BBS: Berg balance scale; FRAF: Falls risk factor assessment.

Table 7 Sensitivity and specificity of Montreal cognitive assessment and comprehensive geriatric assessment

	MoCA	CGA
Sensitivity	0.761	0.882
Specificity	0.714	0.964

MoCA: Montreal cognitive assessment; CGA: Comprehensive geriatric assessment.