This site uses cookies to provide you with a great user experience. By using Curbside, you accept our use of cookies.

x

Calculators /
4 A’s Test for Delirium Screening

Alertness

You can ask the patient to state name and address to assist with scoring.
AMT 4 (Orientation)

Age, D.o.B, place (name of the hospital or building), current year
Attention

Instruct patient to list months in reverse order, starting at December
Mental status change

New and persistent change or fluctuation in mental status within the last 2 weeks and persisting during the past 24 hr
Result : 0

Possible cognitive impairment

Possible delirium and/or cognitive impairment

Possible delirium and/or cognitive impairment

Possibe delirium and/or cognitive impairment

Possible delirium and/or cognitive impairment

Possible delirium and/or cognitive impairment

Possible delirium and/or cognitive impairment

Possible cognitive impairment

Possible cognitive impairment

Possible delirium and/or cognitive impairment

Delirium or severe cognitive impairment unlikely. Note that delirium is still possible if "acute change or fluctuating course" is questionable.

Possible delirium and/or cognitive impairment

 Possible delirium and/or cognitive impairment

Result : 0

Possible cognitive impairment

Possible delirium and/or cognitive impairment

Possible delirium and/or cognitive impairment

Possibe delirium and/or cognitive impairment

Possible delirium and/or cognitive impairment

Possible delirium and/or cognitive impairment

Possible delirium and/or cognitive impairment

Possible cognitive impairment

Possible cognitive impairment

Possible delirium and/or cognitive impairment

Delirium or severe cognitive impairment unlikely. Note that delirium is still possible if "acute change or fluctuating course" is questionable.

Possible delirium and/or cognitive impairment

 Possible delirium and/or cognitive impairment