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Title:

The Value of Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) in the Prediction of Fitness to Drive in Patients with Mild Cognitive Impairment (MCI) and Mild Alzheimer’s Disease (mAD)

Accession Number:

01658881

Record Type:

Component

Abstract:

Montreal Cognitive Assessment (MoCA) and Mini Mental Examination (MMSE) are commonly used cognitive screening instruments. Although MMSE has been previously associated with driving fitness, MoCA has not been widely explored in that perspective. The aim of the study was to explore whether significant correlations would be present between the aforementioned tests and specific driving indexes in patients with amnestic Mild Cognitive Impairment (aMCI), mild Alzheimer’s disease (mAD) and healthy individuals. Forty-four aMCI patients (69.1±8.9 years), 23 mAD patients (73.7±6.8 years), and 30 healthy individuals (65.9±5.7 years) were assessed in rural and urban areas through the use of a driving simulator. Both tests were significantly associated with accident probability and reaction time in both driving conditions in aMCI patients, while MoCA was also significantly correlated with speed limit violations in the rural area. In mAD patients, both tests indicated a significant correlation with headway distance in the rural area and accident probability in the urban area. MoCA also showed a significant correlation with average speed in rural area. No association with any of the driving indexes was reported for the healthy individuals. Both measures of general cognitive functioning, with a relative advantage of the MoCA, appear to be associated with crucial indexes related to driving fitness in patients with aMCI and mAD. Nonetheless, it is recommended that these measures should not be used independently but instead as elements of a broader evaluation when taking decisions related to driving fitness in drivers belonging to the specific clinical groups.

Supplemental Notes:

This paper was sponsored by TRB committee AND10 Standing Committee on Vehicle User Characteristics.

Report/Paper Numbers:

18-02072

Language:

English

Authors:

Beratis, Ion N
Stanitsa, Evangelia
Kontaxopoulou, Dionysia
Fragkiadaki, Stella
Kontari, Panagiota
Pavlou, Dimosthenis
Papantoniou, Panagiotis
Economou, Alexandra
Yannis, George
Papageorgiou, Sokratis G

Pagination:

14p

Publication Date:

2018

Conference:

Transportation Research Board 97th Annual Meeting

Location: Washington DC, United States
Date: 2018-1-7 to 2018-1-11
Sponsors: Transportation Research Board

Media Type:

Digital/other

Features:

References (46) ; Tables

Subject Areas:

Highways; Safety and Human Factors

Source Data:

Transportation Research Board Annual Meeting 2018 Paper #18-02072

Files:

TRIS, TRB, ATRI

Created Date:

Jan 8 2018 10:30AM