Presentation on theme: "Abbreviated Mental Test Score Hodkinson Test"— Presentation transcript:
1 Abbreviated Mental Test Score Hodkinson Test AMTSAbbreviated Mental Test ScoreHodkinson Test
2 AMTS Screening test for cognitive impairment Tests orientation, recall, language and current knowledgeIs highly suited to use within hospitalsIs quick and easy to use.
3 AMTS However: It cannot help with differential diagnosis. Depressed and aphasic patients may not do well on this test even if they do not have a memory problemit is unsuitable to monitor disease progression
4 AMTS Maximum score 10 Score below 7 suggests cognitive impairment Further evaluation is then required
5 Performing the test LGI paper Holmes / Gilbody 1996: 105 doctors contacted1 unware of AMTS82 used incomplete / wrong set of questions103 scored incorrectly78 incorrectly used half marks41 misdiagnosed respondent as cognitively intact1 doctor scored correctly
6 Performing the test Age Date of birth Year Time of day Score for exact age onlyDate of birthScore for correct date and month (year not required)YearScore for current year onlyTime of dayScore if correct to the nearest hour
7 Performing the test Place Monarch Year of first world war Score if exact address or name of hospital given ("in hospital" is insufficient)MonarchScore for current monarch onlyYear of first world warScore for year of start or finish (both not necessary)
8 Performing the test Counting backwards from 20 to 1 Score if no mistakes or subject corrects himself or herself spontaneouslyRecognition of two peopleScore if roles of two people correctly recognised--for example, doctor and nurseRecall of three point address such as 42 West StreetScore if registered correctly near beginning of test and on recall at end of test
9 Mini Mental State Examination MMSEMini Mental State Examination(Folstein et al.)Valid diagnosis of cognitive impairmentDifferential diagnosis possibleMore time consuming ( >10 min)not recommended as a screening instrument for the detection of early stages of dementiaInfluenced by age and education
10 6 Item Cognitive Impairment Test 6CIT6 Item Cognitive Impairment Testbrief and reliable instrument for identifying cognitive impairmentdiagnostic properties comparable to full MMSEtelephone interview possible
11 QuestionScore rangeWeightingWeighted scoreWhat Year is it0-1x4What month is itx3Give the memory phrase e.g. (John Smith 42 West Street Bedford)About what time is itCount back from 20-10-2x2Say months in reverseRepeat the memory phrase0-5Total score for 6CIT0-28
12 References Holmes J, Gilbody S Differences in use of abbreviated mental test score by geriatricians and psychiatristsBMJ 1996;313:465 (24 August)Tangalos EG, Smith GE, Ivnik RJ, Petersen RC, Kokmen E, Kurland LT, Offord KP, Parisi JE.The Mini-Mental State Examination in general medical practice: clinical utility and acceptance. Mayo Clin Proc Sep;71(9):Lomholt RK, JurgensenThe mini-mental state examination in screening of cognitive dysfunction and dementia Ugeskr Laeger Dec 7;160(50):Callahan CM, Unverzagt FW, Hui SL, Perkins AJ, Hendrie HCSix-item screener to identify cognitive impairment among potential subjects for clinical research. Med Care Sep;40(9):Health And Age WebSiteNovartis Foundation for Gerontology 2002
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