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Six-item Cognitive Impairment Test (6CIT) - …

The 6CIT is a much newer test than the Abbreviated Mental Test (AMT). It would appear to be culturally and linguistically translatable with good probability statistics; however, it is held back by its more complex scoring system.

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View this article online at: Cognitive Impairment Test (6CIT)The 6-item Cognitive Impairment Test (6CIT) Kingshill Version 2000 was developed in 1983.[1]This was by regression analysis of theBlessed Information Memory Concentration Scale (BIMC).[2] The 6CIT is a useful dementia screening tool in Primary Care. It was usedin a large European assessment tool (Easycare ) and with new computerised versions its usage is Cognitive Impairment Test (6CIT) - Kingshill Version 20001. What year is it?Correct - 0 pointsIncorrect - 4 points2. What month is it?Correct - 0 pointsIncorrect - 3 points3. Give the patient an address phrase to remember with 5 components - eg: John, Smith, 42, High St, About what time is it (within one hour)?Correct - 0 pointsIncorrect - 3 points5. Count backwards from - 0 points1 error - 2 pointsMore than one error - 4 points6. Say the months of the year in - 0 points1 error - 2 pointsMore than one error - 4 points7. Repeat address - 0 points1 error - 2 points2 errors - 4 points3 errors - 6 points4 errors - 8 pointsAll wrong - 10 points6CIT score = /28Many thanks to Dr Patrick Brooke, General Practitioner & Research Assistant in Dementia for his help with the original article. TheKingshill Research Centre, Swindon, UK owns the copyright to The Kingshill Version 2000 of the 6CIT but allows free usage tohealthcare of questions: taken to perform: 3-4 : the 6CIT uses an inverse score and questions are weighted to produce a total out of 28. Scores of 0-7 are considerednormal and 8 or more : the test has high sensitivity without compromising specificity, even in mild dementia. It is easy to translatelinguistically and : the main disadvantage is in the scoring and weighting of the test, which is initially confusing; however,computer models have simplified this statistics: at the 7/8 cut-off: Overall figures - sensitivity = 90%, specificity = 100%; in mild dementia, sensitivity =78%, specificity = 100%.Page 1 of 2The 6CIT is a much newer test than the Abbreviated Mental Test (AMT). It would appear to be culturally and linguistically translatable withgood probability statistics; however, it is held back by its more complex scoring system. Furthermore, it would be nice to see someadditional larger population studies using the reading & references1. Brooke P, Bullock R; Validation of a 6 item cognitive impairment test with a view to primary care usage. Int J Geriatr Psychiatry. 1999 Nov;14(11) Blessed G, Tomlinson BE, Roth M; The association between quantitative measures of dementia and of senile change in the cerebral grey matter ofelderly subjects. Br J Psychiatry. 1968 Jul;114(512) : This article is for information only and should not be used for the diagnosis or treatment of medical conditions. PatientPlatform Limited has used all reasonable care in compiling the information but makes no warranty as to its accuracy. Consult a doctoror other healthcare professional for diagnosis and treatment of medical conditions. For details see our :Dr Hayley WillacyPeer Reviewer:Dr Colin TidyDocument ID:4172 (v8)Last Checked:28/01/2016Next Review:26/01/2021View this article online at: Six-item Cognitive Impairment Test (6CIT) and find more trusted resources at Patient. Patient Platform Limited - All rights 2 of 2

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