Cognitive Impairment Screening with 6 Questions

 

Patient can identify current year (1 point)

Patient can identify current month (1 point)

Patient can identify current day (1 point)

Patient can recall "apple" after 5 mins. (1 point)

Patient can recall "table" after 5 mins. (1 point)

Patient can recall "penny" after 5 mins. (1 point)

 
Total Criteria Point Count:
 

 

Questions

 
0 to 3 points: Impairment Likely
4 to 6 points: Impairment less likely

 
Notes
  • This 6 item screen for cognitive impairment requires a typical 3 item recall test.
  • The subject should be able to repeat the three items initially, then recall them after 5 minutes.

 
References
  1. Callahan CM, Unverzagt FW, Hui SL, et al. Six-item screener to identify cognitive impairment among potential subjects for clinical research. Med Care. 2002 Sep;40(9):771-81. PubMed ID: 12218768 PubMed Logo

 

 
 
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