Reply to: “Diagnostic test accuracy of the Montreal Cognitive Assessment in the detection of post-stroke cognitive impairment under different stages and cutoffs: a systematic review and meta-analysis”

  • Elise MilosevichEmail author
  • Sarah Pendlebury
  • Nele Demeyere
Letter to the Editor

Dear Editor-in-Chief,

We read the review by Shi et al. [1] with interest and agree that early detection of post-stroke cognitive impairment (PSCI) is very important, both for clinicians and patients since accurate detection of cognitive deficits post-stroke can facilitate appropriate rehabilitation and discharge planning. The authors aimed to systematically review the literature to identify and quantify studies reporting the diagnostic accuracy of the Montreal Cognitive Assessment (MoCA) [2] in stroke survivors, assess the sensitivity and specificity of the MoCA, provide optimal cutoffs, and compare the MoCA with other available screening tools. These aims together with the suggestion at the start of the discussion that “a brief and sensitive screening tool is urgently needed,” prompted us to highlight a significant oversight. The Oxford Cognitive Screen (OCS) [3] was specifically developed as a brief cognitive screen for use post-stroke and although the OCS was used in the study by...


Cognitive Stroke Post-stroke cognitive impairment Cognitive assessment Neuropsychology OCS MoCA MMSE 


Compliance with ethical standards

This “Letter to the Editor” has not been submitted to more than one journal for simultaneous consideration and the authors declare no conflict of interest.


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Copyright information

© Fondazione Società Italiana di Neurologia 2019

Authors and Affiliations

  1. 1.Department of Experimental PsychologyUniversity of OxfordOxfordUK
  2. 2.Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, John Radcliffe HospitalUniversity of OxfordOxfordUK

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