Cognitive assessment using the revised Hasegawa's dementia scale to determine the mid-term outcomes following transcatheter aortic valve replacement

Tobaru, Tetsuya; Higuchi, Ryosuke; Hagiya, Kenichi; Takamisawa, Itaru; Shimizu, Jun; Iguchi, Nobuo; Takanashi, Shuichiro; Takayama, Morimasa; Isobe, Mitsuaki

doi:10.1016/j.jjcc.2019.03.017

Cited by 21 publications

(41 citation statements)

References 24 publications

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The numbers of elderly patients with heart disease and with dementia in Japan are increasing and are becoming public health problems [1][2][3]. Moreover, cardiovascular disease (CVD) is strongly associated with cognitive dysfunction [4], and cognitive dysfunc-tion in patients with heart disease is associated with increased short-and mid-term progression to death and hospital readmission [5,6] and with functional disability [7].Mild cognitive impairment (MCI) is thought to be a transitional state between the normal decline in cognitive function that occurs with aging and dementia [8], and early intervention is necessary to prevent dementia from the time of MCI onset or before because 5-10 % of healthy elderly people with MCI will develop dementia [9].In the daily clinical setting, we have observed that in Japanese heart disease patients with cognitive dysfunction, brush pressure is low when writing Japanese calligraphy with a brush on a piece of paper. Previous studies reported that finger dexterity can reflect a

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confidence: 99%

“…The numbers of elderly patients with heart disease and with dementia in Japan are increasing and are becoming public health problems [1][2][3]. Moreover, cardiovascular disease (CVD) is strongly associated with cognitive dysfunction [4], and cognitive dysfunc-tion in patients with heart disease is associated with increased short-and mid-term progression to death and hospital readmission [5,6] and with functional disability [7].…”

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confidence: 99%

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Pinch strength is associated with the prevalence of mild cognitive impairment in patients with cardiovascular disease

Ishihara

Izawa

Kitamura

et al. 2020

Journal of Cardiology

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confidence: 99%

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confidence: 99%

Pinch strength is associated with the prevalence of mild cognitive impairment in patients with cardiovascular disease

Ishihara

Izawa

Kitamura

et al. 2020

Journal of Cardiology

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“…The Clinical Frailty Scale (CFS) [ 79 ] was used in n = 9 studies [ 13 , 32 , 37 , 40 , 61 , 62 , 63 , 64 , 65 ]. Short-term mortality was considered in n = 2 prospective [ 13 , 32 ] (2235 patients) and n = 1 retrospective [ 40 ] (1542 patients) studies, with contradictory results.…”

Section: Resultsmentioning

confidence: 99%

“…While two investigations [ 32 , 40 ] showed higher risk of 1-year mortality in patients with higher CFS scores, Afilalo et al [ 13 ] demonstrated no association between CFS ≥ 5 and relative risk of mortality. Long-term mortality was investigated in n = 4 prospective [ 13 , 37 , 62 , 64 ] (3387 patients) and n = 4 retrospective [ 40 , 61 , 63 , 65 ] (2269 patients) studies, presenting divergent results.…”

Section: Resultsmentioning

confidence: 99%

The Pandora’s Box of Frailty Assessments: Which Is the Best for Clinical Purposes in TAVI Patients? A Critical Review

Baritello

Salzwedel

Sündermann

et al. 2021

JCM

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Frailty assessment is recommended before elective transcatheter aortic valve implantation (TAVI) to determine post-interventional prognosis. Several studies have investigated frailty in TAVI-patients using numerous assessments; however, it remains unclear which is the most appropriate tool for clinical practice. Therefore, we evaluate which frailty assessment is mainly used and meaningful for ≤30-day and ≥1-year prognosis in TAVI patients. Randomized controlled or observational studies (prospective/retrospective) investigating all-cause mortality in older (≥70 years) TAVI patients were identified (PubMed; May 2020). In total, 79 studies investigating frailty with 49 different assessments were included. As single markers of frailty, mostly gait speed (23 studies) and serum albumin (16 studies) were used. Higher risk of 1-year mortality was predicted by slower gait speed (highest Hazard Ratios (HR): 14.71; 95% confidence interval (CI) 6.50–33.30) and lower serum albumin level (highest HR: 3.12; 95% CI 1.80–5.42). Composite indices (five items; seven studies) were associated with 30-day (highest Odds Ratio (OR): 15.30; 95% CI 2.71–86.10) and 1-year mortality (highest OR: 2.75; 95% CI 1.55–4.87). In conclusion, single markers of frailty, in particular gait speed, were widely used to predict 1-year mortality. Composite indices were appropriate, as well as a comprehensive assessment of frailty.

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“…In our study, cognitive function was evaluated by the revised Hasegawa's dementia scale (HDS-R) [17], which comprising of orientation, memory, attention/calculation and verbal uency [18]. HDS-R has been widely accepted in Asian populations in clinical and epidemiological surveys for the assessment of cognitive impairment [19]. Previous studies observed that HDS-R was similar to Mini-Mental State Examination and had better diagnostic accuracy for screening AD [20].…”

Section: Discussionmentioning

confidence: 99%

Ganglion Cell-Inner Plexiform Layer Thickness is Associated with Persistently Cognitive Decline -The Rugao Longevity and Aging Study

Zhang

Shen

Xiao-yan

et al. 2020

Preprint

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Background: The simple, convenient and well-validated biomarkers are imperative for detection of cognitive decline (CD). The powerful evidence is lacked for verifying the reliability and clinical utility of retinal biomarkers for detection of CD with repeated assessments. To investigate the association of retinal thickness with CD using repeated assessments. Methods: This study included 446 older adults with three-time repeated assessments of cognitive function during 5-years follow-up. Retinal thickness measured on spectral-domain optical coherence tomography. Logistic regression models were conducted to analyze the association of retinal thickness with cognitive function. Results: According to cognitive status in three assessments, individuals were categorized into consistently normal cognition groups (N = 159), persistently CD groups (N = 134), progressed to CD groups (N = 70), and reverting or fluctuating CD groups (N = 83). Thinner ganglion cell-inner plexiform layer (GC-IPL) was associated with persistently CD (odds ratio [OR] per 1-μm decrease: 1.09, 95% confidence interval [CI], 1.02-1.18; per standard deviation [SD] decrease: 1.78, 95%CI, 1.04-3.19) rather than progressed to CD, reverting or fluctuating CD. No significant relationship was found between retinal nerve fiber layer and any CD subgroups (p > 0.05). Conclusions: Thinner GC-IPL was associated with persistently CD, suggesting retinal neurodegeneration may be a promising biomarker for persistently CD. Further studies, including both longitudinal and repeated measurements of retinal layer thickness and cognitive function, are needed to assess the possibility of retinal thickness as a biomarker for persistent CD.

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Cognitive assessment using the revised Hasegawa's dementia scale to determine the mid-term outcomes following transcatheter aortic valve replacement

Cited by 21 publications

References 24 publications

Pinch strength is associated with the prevalence of mild cognitive impairment in patients with cardiovascular disease

Pinch strength is associated with the prevalence of mild cognitive impairment in patients with cardiovascular disease

The Pandora’s Box of Frailty Assessments: Which Is the Best for Clinical Purposes in TAVI Patients? A Critical Review

Ganglion Cell-Inner Plexiform Layer Thickness is Associated with Persistently Cognitive Decline -The Rugao Longevity and Aging Study

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