MoCA assessment
MoCA scores were lower in women with eclampsia and pulmonary oedema
(21.6, 95% CI 20.4 to 22.7, p<0.001 and 21.3, 95% CI 19.7 to
23.0, p<0.01 respectively) when compared to normotensive women
(25.8, 95% CI 24.1 to 27.4). When adjusted for confounders, results
remained similar for women with eclampsia (21.7, 95% CI 20.5 to 22.9vs 25.6, 95% CI 23.7 to 27.4, p<0.05) (Table 2). For
women with pulmonary oedema, the results were attenuated after
adjustments for confounders (21.8, 95% CI 20.0 to 23.5 vs 25.6,
95% CI 23.7 to 27.4, p=0.09). In women with eclampsia and women with
pulmonary oedema, more than 75% had a score less than 26 (40/61 (76%)
for pulmonary oedema and 21/28 (81%) for eclampsia). In women with
pre-eclampsia without severe features, 8/45 (18%) had a score less than
26 and in the normotensive group, 3/26 (12%) had a score less than 26.
For the subdomains of the MoCA assessment, there was an overall
difference in attention, language,
abstraction, delayed recall and orientation but no difference in naming
or visuospatial ability (Table 4).
DISCUSSION