What is the 6CIT?
The 6CIT is a short cognitive screen widely used in UK primary care. It takes 3 to 4 minutes and needs no props.
It covers year, month, time, an address recall, counting backwards and months backwards. Errors are weighted, giving a score out of 28.
6CIT scoring
| Score | Interpretation |
|---|
| 0–7 | Normal |
| 8–9 | Mild cognitive impairment |
| 10–28 | Significant impairment: refer |
If the score is raised
Check reversible causes: FBC, U&E, LFT, calcium, HbA1c, thyroid function, B12 and folate. Review medicines, including anticholinergic burden.
Frequently asked questions
What is a normal 6CIT score?
0 to 7 is normal. Note the scoring is reversed: higher means more impairment.
What 6CIT score needs referral?
10 or more suggests significant impairment. Refer to a memory assessment service.
Does a normal 6CIT rule out dementia?
No. If concern persists, assess further (NICE NG97).
References
- Brooke P, Bullock R. Validation of a 6 item cognitive impairment test with a view to primary care usage. Int J Geriatr Psychiatry 1999;14(11):936–40.
- NICE. Dementia: assessment, management and support. NG97. nice.org.uk/guidance/ng97
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