Cognitive Dysfunction in Older Adults Hospitalized for Acute Heart Failure

Arslanian‐Engoren, Cynthia; Giordani, Bruno; Algase, Donna L.; Schuh, Amanda L.; Lee, Corinne; Moser, Debra K.

doi:10.1016/j.cardfail.2014.06.003

Cited by 19 publications

(14 citation statements)

References 62 publications

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“…The MMSE measures general cognitive functioning, in our study all the sub-items were lower in patients in the advanced functional class, with the exception of registration, which is the ability to acquire the information in the first place, and refers to short-term memory, more influenced by unstable organic conditions [40], and are preserved in many cognitively impaired subjects.…”

Section: Discussionmentioning

confidence: 97%

Ischemic aetiology, self-reported frailty, and gender with respect to cognitive impairment in chronic heart failure patients

González-Moneo

Sánchez‐Benavides

Verdú-Rotellar

et al. 2016

BMC Cardiovasc Disord

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BackgroundDecisive information on the parameters involved in cognitive impairment in patients with chronic heart failure is as yet lacking. Our aim was to determine the functional and psychosocial variables related with cognitive impairment using the mini-mental-state examination (MMSE) with age-and education-corrected scores.MethodsA cohort study of chronic heart failure patients included in an integrated multidisciplinary hospital/primary care program. The MMSE (corrected for age and education in the Spanish population) was administered at enrolment in the program. Analyses were performed in 525 patients. Demographic and clinical variables were collected. Comprehensive assessment included depression (Yesavage), family function (family APGAR), social network (Duke), dependence (Barthel Index), frailty (Barber), and comorbidities. Univariate and multivariate logistic regression were performed to determine the predictors of cognitive impairment.ResultsCognitive impairment affected 145 patients (27.6 %). Explanatory factors were gender (OR: 2.77 (1.75–4.39) p < 0.001), ischemic etiology (OR: 1.99 (1.25–3.17) p = 0.004), frailty (OR: 1.58 (0.99 to 2.50, p =0.050), albumin > 3.5 (OR: 0.59 (0.35–0.99) p = 0.048), and beta-blocker treatment (OR: 0.36 (0.17 to 0.76, p = 0.007)). No association was found between cognitive impairment and social support or family function.ConclusionThe observed prevalence of cognitive impairment using MMSE corrected scores was 27.6 %. A global approach in the management of these patients is needed, especially focusing on women and patients with frailty, low albumin levels, and ischemic aetiology heart failure.

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Section: Discussionmentioning

confidence: 97%

Ischemic aetiology, self-reported frailty, and gender with respect to cognitive impairment in chronic heart failure patients

González-Moneo

Sánchez‐Benavides

Verdú-Rotellar

et al. 2016

BMC Cardiovasc Disord

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“…3 Cognitive impairment (CI) is frequent in HF patients, with prevalence ranging from 25% to 75%, and is thought to be related to poor cerebral perfusion resulting from low cardiac output, low systolic blood pressure, and impaired cerebral neurohormonal autoregulation in HF. [4][5][6][7] Decreased neurocognitive function can lead to adverse clinical outcomes, poor quality of life, increased readmissions, high cost of care, and increased mortality following surgical intervention for advanced HF. 8 Individuals with mild cognitive impairment (MCI) are at increased risk of progression to dementia.…”

mentioning

confidence: 99%

Cognitive function and left ventricular assist device implantation

Bhat

Yost

Mahoney

2015

The Journal of Heart and Lung Transplantation

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“…11 Computerized neuropsychological tests were used to measure cognitive function. Older adults who had more and worse symptoms of heart failure had decreased cognitive function accuracy and speed in attention and memory, but cognitive function was not predictive of 30-day readmission for acute heart failure.…”

Section: Methodsmentioning

confidence: 99%