Six Item Cognitive Impairment Test

Aka: Six Item Cognitive Impairment Test, 6CIT

1. Indications
   1. Dementia screening in primary care
2. Background
   1. Six question test can be completed within 4 minutes
   2. Formulated from a regression analysis of the Blessed Information Memory Concentration (BIMC)
   3. Kingshill Version 2000 Rights are owned by Kingshill Research Centre in Swindon, UK
      1. Medical providers are allowed free usage
3. Questions (correct answers are assigned 0 points)
   1. What year is it?
      1. Score 4 points if incorrect
   2. What month is it?
      1. Score 3 points if incorrect
   3. Remember an address with 5 components (e.g. Bill, Johnson, 67, Hill Street, Chicago)
      1. Will be asked later
   4. About what time is it (within 1 hour)?
      1. Score 3 points if incorrect
   5. Count backwards from 20 to 1
      1. Score 2 points for 1 error
      2. Score 4 points for more than 1 error
   6. Say months of the year in reverse
      1. Score 2 points for 1 error
      2. Score 4 points for more than 1 error
   7. Repeat the address with the 5 components (see above)
      1. Score 2 points for 1 error
      2. Score 4 points for 2 errors
      3. Score 6 points for 3 errors
      4. Score 8 points for 4 errors
      5. Score 10 points for 5 errors (all incorrect)
4. Interpretation: Based on total score (0 to 28)
   1. Normal Score: 0 to 7 Points
   2. Score suggestive of Dementia: 8 or more
5. Efficacy
   1. Test Sensitivity: 90% (78% in mild Dementia)
   2. Test Specificity: 100%
6. Resources
   1. Six Item Cognitive Impairment Test (6CIT) PDF
      1. http://www.wales.nhs.uk/sitesplus/documents/862/FOI-286g-13.pdf
   2. PatientPlus 6CIT Calculator
      1. http://patient.info/doctor/six-item-cognitive-impairment-test-6cit
7. References
   1. Brooke (1999) Int J Geriatr Psychiatry 14(11): 936-40 [PubMed]