Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly
4 A's Test
Purpose : Rapid assessment test for delirium and cognitive impairment
Admin time : 10 min.
User Friendly : High
Administered by : Any health professional at first contact with the patient, and at other times when delirium is suspected.
Content : The 4AT incorporates the Months Backwards test and the Abbreviated Mental Test - 4 (AMT4), which are validated short tests for cognitive impairment. This provides basic cognitive testing, aimed at detecting moderate-severe cognitive impairment, alongside assessment for delirium.
Author : Prof Alasdair MacLullich (Edinburgh Delirium Research Group, University of Edinburgh, Edinburgh, Scotland), and Dr Tracy Ryan and Dr Helen Cash (NHS Lothian, Scotland), 2011
Copyright : free to use (
This Tool is used in Delirium
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Delirium is one of 4 sub-domains of the
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The Psychological Assessment is one of 8 domains of the
Comprehensive Geriatric Assessment (CGA)
Back To : Comprehensive Geriatric Assessment