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Prueba de las 4 A para cribado de delirium (4AT)

GeriatricsDeliriumCognitive screeningBeta toolThis tool is in beta. It has undergone internal validation but still requires additional testing. Always confirm the data entered and the results obtained before clinical use. It should not be used as the sole basis for clinical decisions.
Score this item from direct observation during the bedside assessment.
Use the four official questions: age, date of birth, place, and current year.
Use months of the year backwards starting at December.
Acute change or fluctuating courseRequires evidence of significant change over the last 2 weeks and still present in the last 24 hours.

Clinical noticeEducational delirium-screening support only. It does not replace individual clinical assessment or formal diagnosis.

Context and use

4AT = alertness (0 or 4) + AMT4 (0/1/2) + attention with months backwards (0/1/2) + acute or fluctuating change (0 or 4)

Total score 0-12. Official interpretation: 0 unlikely delirium or moderate-severe cognitive impairment; 1-3 possible cognitive impairment; >=4 possible delirium.

Pain assessment

Abbey Pain Scale for Dementia Patients

Six-domain observational pain scale for adults with dementia who cannot provide a reliable verbal pain report.

Dementia · Geriatrics
Nutrition and metabolism

Basal Energy Expenditure

Estimates basal energy expenditure in kcal/day using the original Harris-Benedict equations.

Certifications and Compliance

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