A 80-year-old woman with mild cognitive impairment is admitted to hospital with pneumonia. She has a 4AT score of 3 on admission (positive AMT4 items ...

Question

A 80-year-old woman with mild cognitive impairment is admitted to hospital with pneumonia. She has a 4AT score of 3 on admission (positive AMT4 items but alert and no acute change reported). Her 4AT score increases to 8 on day 3 of admission (now drowsy, disoriented, with staff reporting acute cognitive change). What does this change in 4AT score MOST likely indicate?

Accepted Answer

Development of hospital-acquired delirium

Answer

Progression of her cognitive impairment to dementia

Answer

Improvement in her clinical condition

Answer

A false-positive 4AT result

Answer

Depression

uk-dgm MCQ (SBA): Serial 4AT Screening - Detecting New Delirium