The correlation Between Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment in Indonesian Version (MOCA-INA) Score as Cognitive Function Evaluation Instrument on Patient With Epilepsy In Mataram

  • Muhammad Fabian Nurfadia Fakultas Kedokteran Universitas Mataram
  • Herpan Syafii Harahap
  • Mohammad Rizki
  • Muhammad Ghalvan Sahidu
  • Ilsa Hunaifi
Keywords: Epilepsy, cognitive function, MMSE, MoCA-Ina.

Abstract

Background: Epilepsy is the highest prevalence diseases in neurology. The decreased of cognitive function is one of the complications which is important. The purpose of this study is to determine the correlation between Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment in Indonesian Version (MoCA-Ina) score on patient with epilepsy in Mataram.    

Method: This is an observational cross-sectional study with 56 subjects with epilepsy from West Nusa Tenggara 2 center hospital. Data that collected from the samples were MMSE and MoCA-Ina score. Beside of that patients’ characteristics data were also collected which is age, gender, education, seizure control, etiology of epilepsy, seizure type, antiepileptic drugs treatment, and smoking status from the subjects. Both instrument’s mean scores were analyzed for the correlation using Spearman correlation test.

Result: This study showing that the subjects average age were 32.9 years old, female (55.4%), and low educated (62.5%). According to the clinical characteristics most subjects were not-depressed (67%), poor quality-controlled seizure (55.4%), idiopathic etiology (66.9%), generalized seizure (71.4%), and having monotherapy (85.7%). Most of the subjects were not a smoker (76.8%).  In this study both the mean score of MMSE and MoCA-Ina were 25.3 and 21.3. MMSE and MoCA-Ina score mean have a strong correlation (r=0.766; p<0.001).

Conclusion: MMSE and MoCA-Ina score mean on patients with epilepsy have a strong correlation. Therefore, both instruments could be used to evaluate cognitive function on patients with epilepsy

 

References

1. Sarkis dan Dworetzky, 2017. Manual of Neurologic Therapeutic : Epilepsy, Wolters Kluwer, Philadelphia, ISBN : 9781496360342
2. World Health Organization, 2019. Epilepsy , available at : https://www.who.int/news-room/fact-sheets/detail/epilepsy
3. PERDOSSI, 2013. Available at : http://yankes.kemkes.go.id/read-epilepsi-4812.html
4. Harahap, H.S., Indrayana, Y., Amalia,E., 2017. Pola Pengobatan dan Fungsi Kognitif Pasien Epilepsi RSJ Mutiara Sukma, Jurnal Kedokteran Brawijaya, Vol 29, hh. 335-340.
5. Kerr, 2012. The Impact of Epilepsy on Patient’s Live, Acta Neurologica Scandinavica,Vol 126, hh 1 – 9.
6. Steiger dan Jokeit, 2017. Why Epilepsy Challanges Social Life, Elsevier, Seizure 44(2017), pp. 194-198.
7. Sheehan, Bart. 2012. Assessment scales in dementia, Therapeutic Advance Neurological Disorders, Vol 5, hh. 349-358.
8. Prasetyo, Lumempouw, Ramli dan Herquanto, 2011. NILAI NORMAL MONTREAL
COGNITIVE ASSESSMENT VERSI INDONESIA (MOCA-INA), NEURONA,
Vol 29 No. 1.
9. Biundo, R., Weis, L., Fiorenzato, E., Antonini, A., 2017. Cognitive Function in Parkinson’s Disease : is it feasible ?, Archieves of Clinical Neuropsychology, Vol 32, hh. 840- 860.
10. Trzepacz, Hochstetler, Wang, Walker, dan Saykin,2015. Relationship between the Montreal Cognitive Assessment and Mini-mental State Examination forassessment of mild cognitive impairment in older adults, BMC Geriart, Vol 15,hh. 107
11. Rambe dan Fitri, 2017. Correlation between the Montreal Cognitive AssessmentIndonesian Version (MoCA-Ina) and the Mini-Mental State Examination(MMSE) in Elderly, Open Access Macedonian Journal of Medical Sciences, Vol5, hh. 915-919.
12. Carnero-Pardo, 2014. Should the Mini-Mental State Examination be retired?,Neurologia, Vol 29, hh.473-481.
13. Lestari,S., Mistivani, I., Rumende, C.M., Kusumaningsih, W., 2017Comparison between mini mental state examination (MMSE) and Montreal cognitive assessment Indonesian version (MoCA-Ina) as an early detection of cognitive impairments in post-stroke patients
14. Lessig, Nie, D., Xu, R., Corey-Bloom, J., 2012. Changes on brief cognitive instruments overtime in Parkinson's disease, Wiley Movement Disorders, Vol 27, hh. 1125-8
15. Hu, Szewczyk-Królikowski, Tomlinson, P., Nithi, K., Rolinski, M., Murray, C., Talbot, K.,Ebmeier, Mackay, Ben-Shlomo, 2014. Predictors of cognitive impairment in an early stage Parkinson’s disease cohort, Wiley Movement Disorders, Vol 29, hh. 351-359
16. Kim, Sunwoo, Sohn, Lee, Hong, 2016. The MMSE and MoCA for Screening CognitiveImpairment in Less Educated Patients with Parkinson’s Disease, Journal of Movement Disorders, Vol 9, hh. 152-159
17. Folstein, F., Folstein, E., dan McHugh, 1975. “Mini-mental state”: A practical method forgrading the cognitive state of patients for the clinician, Elsevier, Vol 12, hh. 189-198
18. Nasreddine, Z.S., Philips, N.A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I.,Cummings, J.L., Chertkow, H.,2005. The Montreal Cognitive Assessment,MoCA:a brief screening tool for mild cognitive impairment, Journal ofAmerican Geriatrics Society, Vol 53, hh. 695-9
19. Fisekovic, Memic, dan Pasalic, 2012. CORRELATION BETWEEN MOCA ANDMMSE FOR THE ASSESSMENT OF COGNITION IN SCHIZOPHRENIA, Acta Informatica Medica, Vol 20, hh. 186-189
20. Zhao, Kang, You, Rastogi, Venkatesh, dan Chandra, 2014. Neuropsychological deficits intemporal lobe epilepsy: A comprehensive review, Annals of Indian Academy of Neurology, Vol 17, hh. 374-382
21. Hermann, B., Seidenberg, M., 2007. Epilepsy and Cognition, Epilepsy Curr, Vol 7, hh. 1-6
22. Upadhayay, dan Guragain, 2014. Comparison of cognitive functions between male and female medical students: a pilot study, Journal of Clinical and Diagnostic Research, Vol 8, hh. 12-15
23. Thomann, A., Goettel, N., Monsch, R.J., Berres, M., Jahn, T., Steiner, Monsch, A.U., 2018. TheMontreal Cognitive Assessment: Normative Data from a German-Speaking Cohort and Comparison with International Normative Samples, Journal of Alzheimer’s Disease, Vol 64, hh. 643-655
24. Loughman, A., Seneviratne, U., Bowden, S.C., D’Souza, W.J., 2016. Epilepsy Beyond Seizure : Predicting Enduring Cognitive Dysfungction in Genetic General Epilepsy, Epilepsy & Behavior, Vol 62, hh. 297-303
25. Sokka, A., Olsen, P., Kirjavainen, J., Harju, M., Keski-Nisula, L., Raisanen, S., Heinonen, S., Kalviainen, R., 2017. Etiology, syndrome diagnosis, and cognition in childhood?onset epilepsy: A population?based study, Epilepsia Open, Vol 2, hh. 76-83
26. Poudel, P., Chitlangia, M., Pokharel, R., 2016. Predictors of Poor Seizure Control in Children Managed at a Tertiary Care Hospital of Eastern Nepal, Iranian Journal of Child Neurology, Vol 10, hh. 48-56
27. Witt, dan Helmstaedter, 2012. Monitoring the cognitive effects of antiepilepticpharmacotherapy — approaching the individual patient, Elsevier, Vol 26, hh. 450-456
28. Natham, Arunachalam, dan Amirthalingam 2018. Comparison of Montreal Cognitive Assessment (MOCA) with Mini Mental State Examination (MMSE) on association between homocysteine and cognitive status in epilepsy patients with phenytoin monotherapy, Asia Pasific Journal of Councelling and Psychotherapy, Vol 9, hh 160 - 170
29. Elkana, O., Tal, N., Oren, N., 2019. Is the Cutoff of the MoCA too High? Longitudinal Data From Highly Educated Older Adults, Journal of Geriatric Psychiatry and Neurology, Vol 33, hh. 155-160

30. Harahap, H.S., Rizki, M., Nurfadia, M.F, Nabiela, A.S., Sari, I.P., 2020, Characteristics of Cognitive Status of Epilepsy Patients Treated WithMonotherapy of First-Generation Antiepileptic Drugs, Malaysian Journal ofPublic Health, Vol 20, hh. 11-18.
31. Milani, S.A., Marsiske, M., Cottler, L.B., Chen, C., Striley, C.W., 2018. Optimal cutoffs for the Montreal Cognitive Assessment vary by race and ethnicity, Alzheimers & Dementia Amsterdam, Vol 3, hh. 773-781
32. Kang, J.M., Cho, Y-S., Park, S., Lee, B.H., Sohn, B.K., Choi, C.H., Choi, J-S., Jeong, H.Y., Cho, S-J., Lee, J-H., Lee, J-Y., 2018. Montreal cognitive assessment reflects cognitive reserve, BMC Geriatrics, Vol 18, hh. 261
33. Phabphal, dan Kanjanasatien, 2011Montreal Cognitive Assessment in cryptogenic epilepsy patients with normal Mini-Mental State Examination scores, Epileptic Discord, Vol 13. hh. 375-381
Published
2021-04-04

Most read articles by the same author(s)

1 2 3 > >>