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Abbreviated Mental Test 4 (AMT-4)

Four-item bedside cognitive screen with performance similar to AMT-10.

Abbreviated Mental Test 4 (AMT-4)
Correctly states age
Correctly states date of birth
Correctly names the place (e.g. hospital, ward)
Correctly states the current year
Result0/4

Any error (score <4/4) suggests cognitive impairment and warrants further assessment.

AMT-4 score
0/4

When to use

  • Very rapid bedside cognitive screening, e.g. as the cognitive component of the 4AT delirium screen.

Formula

One point each for correct age, date of birth, place, and current year. Range 0-4; any error (score <4) suggests cognitive impairment.

Pearls and pitfalls

  • Achieved about 91% predictive agreement with the full AMT-10 in the validating cohort.
  • Used as the cognitive-testing item within the 4AT delirium screen.

References

  1. Swain DG, Nightingale PG. Clin Rehabil. 1997;11(3):243-8.