The Montreal Cognitive Assessment (MoCA) is routinely used during the early assessment of people after stroke to indicate cognitive effects and inform clinical decision-making.

The purpose of this study was to examine the relationship between cognition in the first week post-stroke and personal and instrumental activities of daily skills at 1 month and 3 months post-stroke.

A prospective cohort study consecutively recruited people admitted to the acute stroke ward. Acute cognitive status was measured using the MoCA within 1 week post-stroke onset. Functional outcomes were measured using the Functional Independence Measure (FIM) and the Australian Modified Lawton’s Instrumental Activities of Daily Living Scale (Lawton’s) at 1 month and 3 months post-stroke.

Fifty participants with predominantly mild stroke (n = 47) and mean age of 69.8 achieved a mean MoCA score of 23.1. Controlling for age, the MoCA was associated with the overall FIM score at 1 month (P = 0.02). It was nearing significance for the Lawton’s at 1 month (P = 0.06) but was not associated with either outcome at 3 months. A score of less than 23 on the MoCA was indicative of lower scores on both outcomes.

A low MoCA score within 1 week of stroke may indicate need for support or rehabilitation due to early impacts on personal activities of daily living, but is not associated with poor functional outcomes at 3 months.

蒙特利尔认知评估 (MoCA) 通常用于中风后患者的早期评估，以指示认知影响并为临床决策提供信息。

本研究的目的是检查中风后第一周的认知与中风后 1 个月和 3 个月的日常技能的个人和工具活动之间的关系。

一项前瞻性队列研究连续招募了入住急性卒中病房的人。在中风发作后 1 周内使用 MoCA 测量急性认知状态。在中风后 1 个月和 3 个月时，使用功能独立测量 (FIM) 和澳大利亚改良劳顿工具性日常生活量表 (Lawton's) 测量功能结果。

50 名主要患有轻度卒中（n = 47）且平均年龄为 69.8 岁的参与者的平均 MoCA 评分为 23.1。控制年龄，MoCA 与 1 个月时的总体 FIM 评分相关（P = 0.02）。在 1 个月时，Lawton's 接近显着性（P = 0.06），但与 3 个月时的任一结局均无关。MoCA 得分低于 23 分表示两种结果的得分较低。

中风 1 周内的低 MoCA 评分可能表明由于对日常生活的个人活动的早期影响而需要支持或康复，但与 3 个月时的不良功能结果无关。