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. #ACB #Scale #Anticholinergic #Cognitive #Burden #Geriatrics #Deprescribing #Medications #List #Pharmacology #Scoring
