Domains | mCAM-ED | 4AT |
---|---|---|
Alertness | mRASS -5 (unarousable) to + 4 (combative); alert & calm = 0 | observation alert & calm (0) or clearly abnormal (4) |
Cognition Orientation | MSQ 10 questions (score: ≥ 3 errors indicate altered cognition) | AMT-4 4 questions (score: 0 errors = 0; 1 error = 1, ≥ 2 errors = 2) |
To place | What is the name of this place? | Place (name of hospital / building) |
Where is this located (address)? | – | |
To date | What is today’s date? | – |
What is the month now? | – | |
What is the year? | Current year | |
Towards oneself | How old are you? | Age |
When were you born (month)? | Date of birth | |
When were you born (year)? | ||
On general information | Who is the president of the United States? | – |
Can you name a previous president? | – | |
Disorganized thinking | Comprehension Test 4 questions (score: ≥ 2 mistakes indicate disorganized thinking) | – |
Will a stone float on water? | – | |
Can you use a hammer to pound nails? | – | |
Do two pounds of apples weigh more than one? | – | |
Are there fish in the sea? | – | |
Attention | MBT | MBT |
Omissions and time required for the task (score: ≥ 3 points indicate inattention) | until July or further (score: ≥ 7 months = 0, starts but < 7 months / refuses = 1, untestable = 2) | |
Acute onset or fluctuation | Observation during the interview and information from third party | In the previous 2 weeks or 24 h (score: yes = 4; no = 0) |