scholarly journals 40 * SCREENING FOR COGNITIVE IMPAIRMENT IN PATIENTS OVER 65 YEARS OLD BY USING COGNITIVE SCREENING TOOLS SUCH AS ABBREVIATED MENTAL TEST SCORE (AMTS) FOR EARLY DIAGNOSIS AND MANAGEMENT OF DELIRIUM

2014 ◽  
Vol 43 (suppl 1) ◽  
pp. i9-i10
Author(s):  
J. Costa ◽  
C. Yau ◽  
L. Aye ◽  
M. Yusuf
Keyword(s):  
Cognitive Impairment ◽  
Early Diagnosis ◽  
Test Score ◽  
Screening Tools ◽  
Cognitive Screening ◽  
Mental Test ◽  
Mental Test Score ◽  
Diagnosis And Management ◽  
Abbreviated Mental Test

scholarly journals The comparison of the 1972 Hodkinson’s Abbreviated Mental Test Score (AMTS) and its variants in screening for cognitive impairment

2018 ◽  
Vol 31 (4) ◽  
pp. 561-566 ◽  
Author(s):  
Karolina Piotrowicz ◽  
Wojciech Romanik ◽  
Anna Skalska ◽  
Barbara Gryglewska ◽  
Katarzyna Szczerbińska ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Test Score ◽  
Mental Test ◽  
Mental Test Score ◽  
Abbreviated Mental Test

scholarly journals Underestimation of Cognitive Impairment in Older Inpatients by the Abbreviated Mental Test Score versus the Montreal Cognitive Assessment: Cross-Sectional Observational Study

2020 ◽  
pp. 205-215
Author(s):  
Alexander Emery ◽  
James Wells ◽  
Stephen P. Klaus ◽  
Melissa Mather ◽  
Ana Pessoa ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Assessment ◽  
Test Score ◽  
Testing Time ◽  
Mental Test ◽  
Mental Test Score ◽  
Severe Cognitive Impairment ◽  
Severe Impairment ◽  
Older Inpatients ◽  
Abbreviated Mental Test

<b><i>Background/Aims:</i></b> Cognitive impairment is prevalent in older inpatients but may be unrecognized. Screening to identify cognitive deficits is therefore important to optimize care. The 10-point Abbreviated Mental Test Score (AMTS) is widely used in acute hospital settings but its reliability for mild versus more severe cognitive impairment is unknown. We therefore studied the AMTS versus the 30-point Montreal Cognitive Assessment (MoCA) in older (≥75 years) inpatients. <b><i>Methods:</i></b> The AMTS and MoCA were administered to consecutive hospitalized patients at ≥72 h after admission in a prospective observational study. MoCA testing time was recorded. Reliability of the AMTS for the reference standard defined as mild (MoCA &#x3c;26) or moderate/severe (MoCA &#x3c;18) cognitive impairment was assessed using the area under the receiver-operating curve (AUC). Sensitivity, specificity, positive and negative predictive values of low AMTS (&#x3c;8) for cognitive impairment were determined. <b><i>Results:</i></b> Among 205 patients (mean/SD age = 84.9/6.3 years, 96 (46.8%) male, 74 (36.1%) dementia/delirium), mean/SD AMTS was 7.2/2.3, and mean/SD MoCA was 16.1/6.2 with mean/SD testing time = 17.9/7.2 min. 96/205 (46.8%) had low AMTS whereas 174/185 (94%) had low MoCA: 74/185 (40.0%) had mild and 100 ( 54.0%) had moderate/severe impairment. Moderate/severe cognitive impairment was more prevalent in the low versus the normal AMTS group: 74/83 (90%) versus 25/102 (25%, <i>p</i> &#x3c; 0.0001). AUC of the AMTS for mild and moderate/severe impairment were 0.86 (95% CI = 0.80–0.93) and 0.88 (0.82–0.93), respectively. Specificity of AMTS &#x3c;8 for both mild and moderate/severe cognitive impairment was high (100%, 71.5–100, and 92.7%, 84.8–97.3) but sensitivity was lower (44.8%, 37.0–52.8, and 72.8%, 62.6–81.6, respectively). The negative predictive value of AMTS &#x3c;8 was therefore low for mild impairment (10.9%, 5.6–18.7) but much higher for moderate/severe impairment (75.2%, 65.7–83.3). All MoCA subtests discriminated between low and normal AMTS groups (all <i>p</i> &#x3c; 0.0001, except <i>p</i> = 0.002 for repetition) but deficits in delayed recall, verbal fluency and visuo-executive function were prevalent even in the normal AMTS group. <b><i>Conclusion:</i></b> The AMTS is highly specific but relatively insensitive for cognitive impairment: a quarter of those with normal AMTS had moderate/severe impairment on the MoCA with widespread deficits. The AMTS cannot therefore be used as a “rule-out” test, and more detailed cognitive assessment will be required in selected patients.

scholarly journals How nurses' attire affects elderly psychiatric patients' ability to recognise them

1998 ◽  
Vol 22 (4) ◽  
pp. 236-238
Author(s):  
Hugh Joseph McCreedy ◽  
Peter William Bentham
Keyword(s):  
Elderly Patients ◽  
Test Score ◽  
Psychiatric Patients ◽  
Mental Test ◽  
Mental Test Score ◽  
Abbreviated Mental Test

The ability of elderly patients to identify a nurse wearing a uniform as opposed to mufti was investigated together with the effect of administrator attire on the Abbreviated Mental Test score (AMT). Thirty-six out of 71 patients identified a nurse wearing mufti increasing to 59/71 when wearing uniform (P < 0.005). Patients rated by a uniformed nurse had significantly higher mean AMT scores (6.1) than when rated by a nurse in mufti (5.6) (P < 0.01), and this also had a significant effect on the sensitivity in predicting an organic diagnosis.

scholarly journals Optimizing The Diagnosis and Management of Dementia Within Primary Care: A Systematic Review of Systematic Reviews

2021 ◽  
Author(s):  
Brooklynn Fernandes ◽  
Zahra Goodarzi ◽  
Jayna Holroyd-Leduc
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Systematic Reviews ◽  
Family Physicians ◽  
Outcome Data ◽  
Screening Tools ◽  
Care Practice ◽  
Cognitive Screening ◽  
Mental Test Score ◽  
Diagnosis And Management

Abstract Background: To understand how best to approach dementia care within primary care and its challenges, we examined the evidence related to diagnosing and managing dementia within primary care.Methods: Databases searched include: MEDLINE, Embase, PsycINFO and The Cochrane Database of Systematic Reviews from inception to 11 May 2020. English-language systematic reviews were included if they described interventions involving the diagnosis, treatment and/or management of dementia within primary care/family medicine and outcome data was available. The risk of bias was assessed using AMSTAR 2. The review followed PRISMA guidelines and is registered with Open Science Framework.Results: Twenty-one articles are included. The Mini-Cog and the MMSE were the most widely studied cognitive screening tools. The Abbreviated Mental Test Score (AMTS) achieved high sensitivity (100%, 95% CI: 70%-100%) and specificity (82%, 95% CI: 72%-90%) within the shortest amount of time (3.16 to 5 minutes) within primary care. Five of six studies found that family physicians had an increased likelihood of suspecting dementia after attending an educational seminar. Case management improved behavioural symptoms, while decreasing hospitalization and emergency visits. The primary care educational intervention, Enhancing Alzheimer's Caregiver Health (Department of Veterans Affairs), was successful at increasing carer ability to manage problem behaviours and improving outcomes for caregivers.Conclusions: There are clear tools to help identify cognitive impairment in primary care, but strategies for management require further research. The findings from this systematic review will inform family physicians on how to improve dementia diagnosis and management within their primary care practice.

scholarly journals 247THE ABBREVIATED MENTAL TEST SCORE: THE 1916 QUESTION

2016 ◽  
Vol 45 (suppl 2) ◽  
pp. ii13.117-ii56
Author(s):  
Martin M O'Donnell ◽  
Niamh A O'Regan ◽  
David J Robinson
Keyword(s):  
Test Score ◽  
Mental Test ◽  
Mental Test Score ◽  
Abbreviated Mental Test

Validation of the Greek version of the Abbreviated Mental Test Score: Preliminary findings for cognitively impaired patients of different etiology

2020 ◽  
pp. 1-12
Author(s):  
Dionysios Tafiadis ◽  
Nafsika Ziavra ◽  
Alexandra Prentza ◽  
Vassiliki Siafaka ◽  
Vasiliki Zarokanellou ◽  
...  
Keyword(s):  
Test Score ◽  
Cognitively Impaired ◽  
Greek Version ◽  
Mental Test ◽  
Mental Test Score ◽  
Abbreviated Mental Test
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