As using the 1-point education adjustment increases the cutoff score by 1 point, it is suggested to use the noncorrected score and the usual cutoff, that is, 26. Our results confirm that the MoCA test is a convenient and reliable screening tool to measure cognition defects in alcoholic patients. Uncorrected MoCA scores identified more than 80% of the patients with a cutoff score equal to 26, to obtain similar accuracy with the corrected score required using a cutoff score equal to 27. NP tests were significantly correlated with the MoCA score. The mean uncorrected MoCA score was 23.1 ± 3.3 in those with and 27.0 ± 1.9 in those without cognitive impairment. There were 40 men and 16 women, with a mean age of 49.5 years. Thirty-one patients with and 25 without cognitive impairment were included in the study.
Sensitivity, specificity, and cutoff of the MoCA score were analyzed using receiver operating characteristic curve analysis. We compared the MoCA scores in patients hospitalized for AUD with and without cognitive impairment assessed by a battery of neuropsychological (NP) tests.
However, whether or not the score should be corrected for education level and whether the proposed cutoff is relevant in patients with alcohol use disorders (AUD) should be determined. The Montreal Cognitive Assessment (MoCA) score is a convenient and promising tool for estimating alcoholic patients' global cognitive functioning, a major challenge for all specialized alcohol treatment centers.