Results: 22 tests fitted criteria. Mini-Mental State Examination (MMSE) and Hopkins Verbal Learning Test (HVLT) had good psychometric properties in primary care.

DemTect: 1-year experience of a neuropsychological screening test for dementia. SIR—The DemTect Scale is a brief screening test for dementia comprising five short subtests (10-word list. Other scales (Mini-Mental State Examination [MMSE]. Addenbrooke's Cognitive Examination [ACE]) were used, and DemTect scores.

In the secondary care settings, MMSE has considerable data but lacks sensitivity. Barnet And Bedau Arguing About Literature Pdf Download. 6-Item Cognitive Impairment Test (6CIT), Brief Alzheimer's Screen, HVLT, and 7 Minute Screen have good properties for detecting dementia but need further validation. Addenbrooke's Cognitive Examination (ACE) and Montreal Cognitive Assessment are effective to detect dementia with Parkinson's disease and Addenbrooke's Cognitive Examination-Revised ( ACE-R) is useful for all dementias when shorter tests are inconclusive. Rowland Universal Dementia Assessment scale (RUDAS) is useful when literacy is low. Tests such as Test for Early Detection of Dementia, Test Your Memory, Cognitive Assessment Screening Test (CAST) and the recently developed ACE-III show promise but need validation in different settings, populations, and dementia subtypes. Validation of tests such as 6CIT, Abbreviated Mental Test is also needed for dementia screening in acute hospital settings. Introduction Cognitive impairment is a core and usually first symptom of dementia (APA, ).

Efficient early diagnosis of those with suspected dementia requires quick, meaningful cognitive tests. The International Psychogeriatric Association survey found 20 brief cognitive instruments which respondents used in clinical practice chosen for “effectiveness,” “ease of administration,” and “familiarity” (Shulman et al., ). The Mini-Mental State Examination (MMSE) was the commonest, followed by the Clock Drawing Test (CDT). Brief cognitive tests are part of the armoury required to help confirm suspected dementia and should be quick, easy, and acceptable with a high positive likelihood ratio (LR), so clinicians will be less likely to misidentify a patient with dementia.

LRs are used for assessing a diagnostic test (Smith, 2009). The LR positive (LR+) is calculated as sensitivity/1-specificity and LR negative (LR−) = 1 − sensitivity/specificity. A likelihood ratio (LR) >1 indicates the test is associated with the disease (LR+), and. Eligibility characteristics, information sources, and search strategy We searched electronic databases Medline (1990–May 2013), Embase (1974–May 2013), PsychInfo (1990–May 2013), Web of Science (1990–2004), HMIC Health Management Information Consortium (1979 to March 2013) and the Cochrane library (1990–2010) for English language papers using key words—“dementia, brief cognitive tests, cognitive screen” and reference lists from included and review articles. Additionally, we hand-searched the International Journal of Geriatric Psychiatry, Ageing and Mental Health, International Psychogeriatrics, and Age and Aging. Selection criteria We included instruments used for patients with any suspected dementia; performed solely face to face with the patient; taking ≤ 20 minutes with quantitative psychometric data and validation against dementia diagnosis (without excluding mild dementia) to include tests suitable for secondary care. We excluded tests with functional and behavioral items; telephonic or computerized self-tests, informant's questionnaires; detecting dementia praecox or dementia secondary to head injury; or mild cognitive impairment (MCI) without dementia; studies in people without dementia (unless people with dementia were analyzed separately); those to measure cognition in moderate to severe dementia rather than for suspected dementia, tested in learning disability population; qualitative tests; non-English language tests; translated versions.