The use of the MoCA in cognitive impairment for older patients with Chronic Obstructive Pulmonary disease: A preliminary study

Verduri, Alessia, O’Neill, Martin, Ghinassi, Federica, Guidotti, Federico, Simeone, Maria Serena, Ruggieri, Valentina, Clini, Enrico and Hewitt, Jonathan ORCID: https://orcid.org/0000-0002-7924-1792 2025. The use of the MoCA in cognitive impairment for older patients with Chronic Obstructive Pulmonary disease: A preliminary study. Science Progress 108 (3) , 00368504251347114. 10.1177/00368504251347114

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Abstract

Background: Cognitive Impairment (CI) represents an important extra-pulmonary feature of Chronic Obstructive Pulmonary Disease (COPD), in which its prevalence remains under-recognised. The Montreal Cognitive Assessment (MoCA) is a validated screening test for detecting CI. Objectives: The use of the MoCA in clinically stable COPD in routine practice. Secondary aim: CI prevalence in COPD. Design: Feasibility study. Methods: Quantitative and qualitative data were collected in 30 COPD patients, aged ≥65 years, at the Outpatient Department in Modena (Italy). Results: The MoCA administration was on average 11 min. Patient feedback was positive. The COPD participants (mean age 75 years) viewed the test favourably and felt that understanding more about cognitive function would help improve their care. The median MoCA score was 23 with 10% of patients had moderate CI. The prevalence of CI was 84%. Conclusion: The MoCA is not time-consuming and should be incorporated in daily routine to identify CI in COPD, in which the prevalence of mild CI remains high. Results warrant further studies in larger populations to confirm feasibility in clinical practice.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Medicine
Additional Information:	License information from Publisher: LICENSE 1: URL: https://creativecommons.org/licenses/by-nc/4.0/, Start Date: 2025-07-21
Publisher:	SAGE Publications
ISSN:	0036-8504
Date of First Compliant Deposit:	30 July 2025
Last Modified:	21 Aug 2025 09:56
URI:	https://orca.cardiff.ac.uk/id/eprint/180133

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