4AT: rapid assessment test for delirium detection. Designed by Alasdair MacLullich (University of Edinburgh), Tracy Ryan and Helen Cash (NHS Lothian). Used in clinical care by doctors, nurses, occupational therapists and other healthcare professional to detect and help diagnose delirium.

The 4AT is a screening instrument designed for rapid initial assessment of delirium and cognitive impairment. A score of 4 or more suggests delirium but is not diagnostic: more detailed assessment of mental status may be required to reach a diagnosis.

2021年4月26日 · The 4AT (4 ‘A’s Test) is a brief tool for delirium detection, designed for use in clinical practice. It has been validated in 17 studies in over 3,700 patients. The test is currently used in specialist palliative care units, but has not been validated in this setting.

The 4A’s test (4AT): This is a short, four-item tool designed for use in clinical practice. The four items are alertness, cognition (a short test of orientation), attention (recitation of the months in backwards order), and the presence of acute change or fluctuating course.

The 4 'A's test (Arousal, Attention, Abbreviated Mental Test - 4, Acute change) (4AT) is a screening tool designed for routine use. This project evaluated its usability, diagnostic accuracy and cost.

The 4AT is designed to balance sensitivity and specificity for delirium. It is also designed to yield a score even in situations where the patient is unable to speak or communicate meaningfully. Patients with severe dementia may have a level of impairment that means that they score 2 on both Items 2 and Item 3, giving a score of 4.

These guidelines were developed to assist clinicians in acute sites in NHS Lanarkshire in providing consistent and evidence based management in cases of suspected delirium in adults over the age of 18.

The 4 ‘A’s Test or 4AT is an assessment tool for delirium and cognitive impairment. The 4AT tool (www.the4at.com) is designed to be used by any health professional at first contact with the patient, and at other times when delirium is suspected. It incorporates the Months Backwards test and the Abbreviated Mental Test - 4

The 4AT was designed specifically for routine clinical use. It has features that mean that it can readily be implemented in day to day practice: short. simple. no special training needed. built-in cognitive testing. gives a clinically informative 4AT score, not an Unable To Assess (UTA), in patients too sleepy or restless for cognitive testing ...

2020年8月3日 · The 4AT Test: Screening Tool for Cognitive Impairment and Delirium Score Score Score 1: ALERTNESS This includes patients who maybe markedly drowsy (e.g. difficult to rouse and/or obviously sleepy during assessment) or agitated/hyperactive. Observe the patient. If asleep attempt to wake with speech or gentle touch on shoulder.