BACKGROUND For many years, the Montreal Cognitive Assessment (MoCA) has been one of the most commonly used cognitive screening instruments in ambulatory care settings. Because the MoCA will no longer be in the free public domain by the end of 2020, it is important to consider cognitive screening tests that are comparable and free. METHODS We briefly review three cognitive screening instruments, the Saint Louis University Mental Status examination, the Short Test of Mental Status, and the Addenbrooke's cognitive examination, and compare these tests with the MoCA. CONCLUSION The Addenbrooke's cognitive examination is a comprehensive cognitive examination that is too long for administration in primary care. The Short Test of Mental Status uses a 38-point scale, does not account for education, and is available only in English. The Saint Louis University Mental Status is an ideal candidate to replace the MoCA because similar to the MoCA, it is based on a 30-point scale and available in many languages. In addition to dementia, it has been validated for diagnosing mild cognitive impairment. While the MoCA has more tests suited for detecting dysexecutive dementias, it is possible to supplement the Saint Louis University Mental Status with comparable public domain executive function tests. In summary, we believe the Saint Louis University Mental Status to be a suitable free alternative to the MoCA.

中文翻译：

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我必须付费才能使用 MoCA？我该怎么办？

背景 多年来，蒙特利尔认知评估 (MoCA) 一直是门诊护理环境中最常用的认知筛查工具之一。由于到 2020 年底 MoCA 将不再属于免费的公共领域，因此考虑具有可比性和免费的认知筛查测试非常重要。方法 我们简要回顾了三种认知筛查工具，即圣路易斯大学心理状态检查、心理状态短期测试和 Addenbrooke 认知检查，并将这些测试与 MoCA 进行比较。结论 Addenbrooke 认知检查是一项全面的认知检查，对于初级保健的管理来说时间太长。心理状态短期测试使用 38 分制，不考虑教育，仅提供英文版本。Saint Louis University Mental Status 是取代 MoCA 的理想候选者，因为它与 MoCA 类似，它基于 30 分制，并提供多种语言版本。除了痴呆症，它还被证实可用于诊断轻度认知障碍。虽然 MoCA 有更多适合检测执行障碍性痴呆的测试，但可以通过可比较的公共领域执行功能测试来补充圣路易斯大学的心理状态。总之，我们认为圣路易斯大学精神状态是 MoCA 的合适免费替代方案。虽然 MoCA 有更多适合检测执行障碍性痴呆的测试，但可以通过可比较的公共领域执行功能测试来补充圣路易斯大学的心理状态。总之，我们认为圣路易斯大学精神状态是 MoCA 的合适免费替代方案。虽然 MoCA 有更多适合检测执行障碍性痴呆的测试，但可以通过可比较的公共领域执行功能测试来补充圣路易斯大学的心理状态。总之，我们认为圣路易斯大学精神状态是 MoCA 的合适免费替代方案。