Download a guide to completing the electronic case report forms

SCALES AND SCORES (APPLIES FOR BOTH STUDIES) ............................................................................. 35
IQ-CODE ................................................................................................................................................................... 35
How to calculate the final score of the test: ............................................................................................ 35
Scoring the IQ code ....................................................................................................................................... 35
MOCA (MONTREAL COGNITIVE ASSESMENT): ADMINISTRATION AND SCORING
INSTRUCTIONS ...................................................................................................................................................... 37
1. Alternating Trail Making ........................................................................................................................... 38
2. Visuoconstructional Skills (Cube) .......................................................................................................... 38
3. Visuoconstructional Skills (Clock) ......................................................................................................... 38
4. Naming.......................................................................................................................................................... 39
5. Memory ........................................................................................................................................................ 39
6. Attention ...................................................................................................................................................... 40
7. Sentence repetition ................................................................................................................................... 41
8. Verbal fluency .............................................................................................................................................. 41
9. Abstraction .................................................................................................................................................. 41
10. Delayed recall ........................................................................................................................................... 42
11. Orientation ................................................................................................................................................ 43
TOTAL SCORE .............................................................................................................................................. 43
QUALITY OF LIFE: EQ-5D-5L.............................................................................................................................. 45
MODIFIED RANKIN SCALE ................................................................................................................................. 48
Management ..................................................................................................................................................... 50
DRUG MANAGEMENT ......................................................................................................................................... 51
FOLLOW UP ............................................................................................................................................................. 51
Visit record ...................................................................................................................................................... 52
POSITIVE EVENT FORMS...................................................................................................................................... 55
Bleeding events form ..................................................................................................................................... 55
Cardiac event form ........................................................................................................................................ 56
Stroke or TIA .................................................................................................................................................. 56
Death Notification Form .............................................................................................................................. 57
WITHDRAWAL FORMS........................................................................................................................................ 58
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