Assessment of Cognitive Function Status in Patients of COPD by Montreal Cognitive Assessment Test (MOCA) Hindi Version
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 5
Abstract
Introduction: In the current scenario of increasing burden of COPD it is predicted that, it will be fourth leading cause of death globally by year 2030. In the management of COPD, besides giving antibiotics, bronchodilators and anti-inflammatory treatment, simultaneous management of co-morbidities, is key for good recovery. Present study aimed to evaluate the presence of cognitive impairment in COPD patients using MOCA. Material and Methods: This was a prospective case control study, where sequential patients satisfying criterion were included. Study was done in TB and Chest OPD of UCMS and GTB Hospital, a tertiary care teaching hospital situated in Dilshad Garden Delhi, from January 2015-July 2016. In study group there were 95 subjects and in control group there were 78 subjects. Cases and control were matched for educational and socioeconomical background. Their cognitive function was assessed by MOCA test (Hindi version) Results: The mean age of cases was 56.4±10.79 Years compared to 50.8±10.52 in control groups. Mean score was 19.87±4.39 with 10 (10.2%) achieving score equal to or above cut off value of 26 and among the controls it was 24.6±2.51 with 32 (42.1%) achieving score equal to or above cutoff value of 26. These data clearly shows the MOCA is an effective tool to assess cognitive function in COPD patients. Conclusion: Among patients of COPD cognitive impairment is an important co-morbidity and MOCA is a quick and easy tool to diagnose it in OPD setting.
Authors and Affiliations
Amit Kumar Verma, Dhirendra Kumar Sahu
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