Anticholinergic Cognitive Burden Scale (ACB Scale)

 

Categorical Scoring:

 •	 Possible anticholinergics include those listed with ascore of 1; Definite anticholinergics include those listed with a score of 2 or 3



Numerical Scoring:

 •	 Add the score contributed to each selected medication in each scoring category

 •	 Add the number of possible or definite Anticholinergic medications



Notes:

 •	 Each definite anticholinergic may increase the risk of cognitive impairment by 46% over 6 years.

 •	 For each on point increase in the ACB total score, a decline in MMSE score of 0.33 points over 2 years has been suggested.

 •	 Additionally, each one point increase in the ACB total score has been correlated with a 26% increase in the

risk of death.



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