Document Detail


Screening for cognitive impairment in older people attending accident and emergency using the 4-item Abbreviated Mental Test.
MedLine Citation:
PMID:  20164778     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
To determine the utility of the 4-item Abbreviated Mental Test (AMT4) for detecting cognitive impairment in accident and emergency patients aged 65 years or older. Cognitive function was assessed using the Mini Mental State Examination (MMSE), 4 and 10-point AMT and subjective judgment. Cognitive impairment was defined as an MMSE score 23/30 or less. Of 601 patients, 226 (37.6%) scored 23 or less on MMSE. Cutoffs of 3 or less for AMT4 and 7 or less for AMT had sensitivities of 80% [95% confidence interval (CI): 0.75-0.85] and 76% (95% CI: 0.69-0.81), and specificities of 88% (95% CI: 0.84-0.91) and 93% (95% CI: 0.90-0.96), respectively, for detection of cognitive impairment; subjective judgement of admitting nurse had 50.5% (95% CI: 44-57%) sensitivity and 98.6% (95% CI: 0 96-1.00%) specificity. In conclusion, the AMT4 performs as well as the 10-point AMT in screening for cognitive impairment, and will assist in the early detection of cognitive problems.
Authors:
Irene Schofield; David J Stott; Debbie Tolson; Angus McFadyen; James Monaghan; Derek Nelson
Related Documents :
22828408 - Distinct aging effects for two types of inhibition in older adults: a near-infrared spe...
22325208 - Cell-type-specific synchronization of neural activity in fef with v4 during attention.
22695378 - Intentional subitizing: exploring the role of automaticity in enumeration.
19620138 - Cognitive impairment predicts poststroke death in long-term follow-up.
432078 - Recalibration of the convergence system.
7021798 - Why did van gogh cut off his ear? the problem of alternative explanations in psychobiog...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  17     ISSN:  1473-5695     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  340-2     Citation Subset:  IM    
Affiliation:
Glasgow Caledonian University, Glasgow, UK. I.Schofield@gcal.ac.uk
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Prehospital ultrasound in emergency medicine: incidence, feasibility, indications and diagnoses.
Next Document:  Noninvasive diagnosis and prognosis of liver cirrhosis: a comparison of biological scores, elastomet...