HODKINSON ABBREVIATED MENTAL TEST SCORE PDF

Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines, so you may find the language more technical than the condition leaflets. This quick to use screening test was first introduced in In our ever-increasingly multicultural society it is not possible to recommend this test any longer, especially in view of its validity data. Reproduced from Hodkinson HM; Evaluation of a mental test score for assessment of mental impairment in the elderly.

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Since its introduction by Hodkinson in , Abbreviated Mental Test Score AMTS and its English and other language versions have been widely used in research and clinical practice alike.

However, whether the various versions of AMTS yield equivalent information has never been tested. The mean SD age of 72 The average time spent on education was The AMTS score across versions varied between 7. The MMSE averaged We found AMTS versions to be significantly correlated all r between 0. We found AMTS to be a reliable and useful tool in the screening for possible cognitive impairment.

This seems to be true irrespective of whether we use the original test or any of its studied modifications. The ellipses denote lack modification when compared to original test by Hodkinson. Current location meant name of hospital or town. Several papers described validations of some of national versions of AMTS [ 10 — 15 ], or the validity of the original version as published by Hodkinson in in detecting persons with definite dementia, according to the clinical criteria prevailing during the execution of particular study [ 16 — 19 ], or suspected dementia based on the MMSE score [ 17 , 20 — 22 ].

However, to the best of our knowledge the widely circulated versions of AMTS, including the Polish modification, have never been compared between one another in terms of their value in detecting suspected cognitive impairment. The aim of the study was to compare the basic diagnostic properties of the Polish translation [ 7 ], the English versions published in the Occasional Paper by the Royal College of General Practitioners RCGP [ 3 , 4 ], and the original questionnaire of the Abbreviated Mental Test Score [ 1 , 2 ].

To adjust the results for age and education we used the correction as proposed by Mungas et al. The threshold score for the cognitive impairment in AMTS was 7 points 6 or below. The included patients were the inpatients of Dept. The acutely admitted patients were assessed after stabilization of their medical condition. The data management and analysis were performed with SAS 9.

We used the c -statistics as estimates of area under the curve AUC. We collected data of 72 consecutive patients Based on the unadjusted MMSE results, Based on the AMTS, the suspicion of cognitive impairment ranged from The inter-version AMTS correlations ranged from 0. In this cross-sectional study of 72 older subjects, we found that AMTS and its derivative versions had good c -statistic from 0. This does not significantly differ across various English language versions of AMTS currently in use, and the Polish modification of the test.

This is reflected by a significant correlation between scores obtained from different versions of AMTS. The practical universal use of AMTS poses several problems. First, changes at the societal level, education, and the sheer weight of more recent historical events that draw attention of the societies and the individuals alike may raise suspicion that questions pertaining to such entities as the beginning of great wars WW1 vs.

WW2 or the rule of British Monarchs, may have different weight currently than they had in the past [ 8 , 14 ]. The literature abounds in the modifications of the original inventory [ 3 — 6 , 8 , 14 , 15 , 26 ].

In addition, many versions other than those in English language have been created, usually at the time of systemic transformation in Central and Eastern Europe, the Gulf Region, or Far East. Some local versions may not have been based on original work by Hodkinson of , instead, relying on more easily accessible, more recent English language modifications of the original [ 8 ].

Several national validations have been published [ 11 , 13 — 15 , 19 ]. The validation of the Iranian version substitutes the date of WW1 with the Iraqi—Iranian war and the name of the Queen with the name of the then current Iranian leader [ 14 ].

In the validation study conducted in Hong Kong, the authors replaced the date of WW1 with the date of mid-Autumn festival and the name of the Queen with the name of current Governor of the Chinese leader [ 15 ], an Italian validation substituted the name of the Queen with the name of the Italian president [ 19 ].

In this respect, our results lend formal support to the comparisons of the AMTS value in detecting cognitive impairment as published in review papers [ 17 ]. Our study should be considered in the context of its possible limitations. First, the patients included were not randomly drawn, instead they were consecutive inpatients drawn from two centers in Poland and did not include any persons for whom English would have been a mother tongue.

Thus, the tests were administered in Polish. However, this was done to exclude interpretational problems which might arise due to a learning phenomenon potentially associated with repeated administration of the core inventory [ 27 ]. However, the test has been extensively used for research and clinical purposes worldwide. Despite the fact that the study was performed on Polish population, the implications extend well beyond a single country.

Thus far, to the best of our knowledge, no study formally addressed the issue of whether different variants of AMTS currently in use would perform equally against a standard, broadly used measure such as MMSE. We show that indeed they do, and that the ROCs revolve about the value of 0.

Previously, we showed that subclinical changes in the AMTS correlate with poor compliance with prescribed antihypertensive regimen and worse blood pressure control in a randomly drawn cohort of community living older hypertensive patients [ 9 ]. Our current data give support for the continued use of this important brief assessment tool in daily practice, especially outside of the specialized geriatric setting.

AMTS is an easy to perform tool for screening assessment of cognition in older subjects. Many modifications of the test exist, however whether their screening value is comparable has never been tested.

We found that irrespective of modifications of questions in AMTS, its screening performance is satisfactory. We advocate use of AMTS and its variants in the quick cognitive screening of older patients. JG and KP did the statistical analysis. All authors were involved in data interpretation. JG and KP wrote the 1st draft of the manuscript. All authors revised the article and gave final approval for submission.

National Center for Biotechnology Information , U. Aging Clinical and Experimental Research. Aging Clin Exp Res. Published online Jul Roger M.

Author information Article notes Copyright and License information Disclaimer. Corresponding author. Received Apr 18; Accepted Jul This article has been cited by other articles in PMC. Results The mean SD age of 72 Conclusions We found AMTS to be a reliable and useful tool in the screening for possible cognitive impairment. Open in a separate window.

Methods The aim of the study was to compare the basic diagnostic properties of the Polish translation [ 7 ], the English versions published in the Occasional Paper by the Royal College of General Practitioners RCGP [ 3 , 4 ], and the original questionnaire of the Abbreviated Mental Test Score [ 1 , 2 ].

Results We collected data of 72 consecutive patients Hodkinson p value vs. Polish Hodkinson [ 1 , 2 ] 7.

Discussion In this cross-sectional study of 72 older subjects, we found that AMTS and its derivative versions had good c -statistic from 0. Key points AMTS is an easy to perform tool for screening assessment of cognition in older subjects. Funding None. Notes Conflict of interest The authors report no conflicts of interest.

Informed consent All subjects gave their informed consent. References 1. Hodkinson HM. Age Ageing. Evaluation of a mental test score for assessment of mental impairment in the elderly. Effect of admission fascia iliaca compartment blocks on post-operative abbreviated mental test scores in elderly fractured neck of femur patients: a retrospective cohort study. BMC Anesthesiol. Accessed 17 Mar Kocemba J, Grodzicki T. Geriatryczne Skale Oceny.

Zarys Gerontologii Klinicznej. Psychiatria I Psychologia Kliniczna. Subclinical mood and cognition impairments and blood pressure control in a large cohort of elderly hypertensives.

J Am Med Dir Assoc. The abbreviated mental test: its use and validity. Eur J Neurol. Validation of the Hodkinson abbreviated mental test as a screening instrument for dementia in an Italian population. Arch Gerontol Geriatr. Hong Kong Med J. The predictive value of dementia screening instruments in clinical populations. Int J Geriatr Psychiatry.

Screening for dementia in general hospital inpatients: a systematic review and meta-analysis of available instruments. Construct validity of the abbreviated mental test in older medical inpatients.

Dement Geriatr Cogn Disord.

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Abbreviated Mental Test Score (AMTS)

Either your web browser doesn't support Javascript or it is currently turned off. In the latter case, please turn on Javascript support in your web browser and reload this page. Since its introduction by Hodkinson in , Abbreviated Mental Test Score AMTS and its English and other language versions have been widely used in research and clinical practice alike. However, whether the various versions of AMTS yield equivalent information has never been tested. The mean SD age of 72

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Abbreviated Mental Test (AMT)

However, whether the various versions of AMTS yield equivalent information has never been tested. Results: The mean SD age of 72 The average time spent on education was The AMTS score across versions varied between 7. The MMSE averaged

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Abbreviated mental test score

Since its introduction by Hodkinson in , Abbreviated Mental Test Score AMTS and its English and other language versions have been widely used in research and clinical practice alike. However, whether the various versions of AMTS yield equivalent information has never been tested. The mean SD age of 72 The average time spent on education was The AMTS score across versions varied between 7. The MMSE averaged We found AMTS versions to be significantly correlated all r between 0.

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