THE ASSESMENT OF COGNITIVE IMPAIRMENT FOR STROKE PATIENT

Introduction: Stroke is a leading cause of long-term disability. Deficit neurological of stroke have impact in physical, emotional, social, and cognitive aspects. The impact of deficit neurological may affects long-term quality of life. The purpose of this study was to evaluate the effectiveness of cognitive impairment assessment for stroke. Method: Using an electronic database including Pubmed, Sciencedirect, Medline Ebsco Host, Proquest and Springerlink Library only for English language articles. Combining cognitive impairment, screening cognitive, screening MoCA, MoCA tools, screening MMSE, MMSE tools, and stroke as the search keywords. The 603 articles retrieved. Using matching keywords, 40 articles were selected. Finally, 4 articles were selected which are study of test accuracy among consecutive patients. Result: Using MoCA test more effective to evaluate cognitive impairment for stroke patients. Discussion: The MoCA test for patient post stroke can detect cognitive impairment compared using the MMSE. The MMSE subtest domain score can’t distinguished, while the MoCA subtest domain score (visuospatial/executive function, attention and recall) can be distinguished. Assessing executive function can help determine a patient’s capacity to execute health care and discharge planning decisions. Keywords: MoCA, MMSE, strok