1. Abbreviated Mental Test Score Hodkinson Test
AMTS
Abbreviated Mental Test Score
Hodkinson Test

2. AMTS Screening test for cognitive impairment
Tests orientation, recall, language and current knowledge
Is highly suited to use within hospitals
Is 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 problem
it 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 contacted
1 unware of AMTS
82 used incomplete / wrong set of questions
103 scored incorrectly
78 incorrectly used half marks
41 misdiagnosed respondent as cognitively intact
1 doctor scored correctly

6. Performing the test Age Date of birth Year Time of day
Score for exact age only
Date of birth
Score for correct date and month (year not required)
Year
Score for current year only
Time of day
Score 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)
Monarch
Score for current monarch only
Year of first world war
Score 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 spontaneously
Recognition of two people
Score if roles of two people correctly recognised--for example, doctor and nurse
Recall of three point address such as 42 West Street
Score if registered correctly near beginning of test and on recall at end of test

9. Mini Mental State Examination
MMSE
Mini Mental State Examination
(Folstein et al.)
Valid diagnosis of cognitive impairment
Differential diagnosis possible
More time consuming ( >10 min)
not recommended as a screening instrument for the detection of early stages of dementia
Influenced by age and education

10. 6 Item Cognitive Impairment Test
6CIT
6 Item Cognitive Impairment Test
brief and reliable instrument for identifying cognitive impairment
diagnostic properties comparable to full MMSE
telephone interview possible

11. Question
Score range
Weighting
Weighted score
What Year is it
0-1 x4
What month is it x3
Give the memory phrase e.g. (John Smith 42 West Street Bedford)
About what time is it
Count back from 20-1
0-2 x2
Say months in reverse
Repeat the memory phrase
0-5
Total score for 6CIT
0-28

12. References Holmes J, Gilbody S
Differences in use of abbreviated mental test score by geriatricians and psychiatrists
BMJ 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, Jurgensen
The 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 HC
Six-item screener to identify cognitive impairment among potential subjects for clinical research. Med Care Sep;40(9):
Health And Age WebSite
Novartis Foundation for Gerontology 2002

13. Thank you!