Frequent Mild Cognitive Deficits in Several Functional Domains in Elderly Patients With Heart Failure Without Known Cognitive Disorders

Nordlund, Arto; Berggren, Jens; Holmström, Alexandra; Fu, Michael; Wallin, Anders

doi:10.1016/j.cardfail.2015.04.006

Cited by 20 publications

(13 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Impairment in executive function (e.g., problem solving, goal setting, and decision making) has been not only detected among individuals with HF but also found to be associated with reduced independence in instrumental activities of daily living such as medication management (Alosco et al, 2014). In a cross-sectional study, Nordlund et al (2015) found that patients with HF demonstrated cognitive impairments in the domains of speed and attention, episodic memory, visuospatial functions, and language comparing with healthy individuals in spite of reporting no known cognitive disorders. Moreover, Alwerdt et al (2013) reported differences in memory and speed of processing between individuals with and without HF, with individuals with HF displaying poorer performance in these cognitive functions.…”

Section: Resultsmentioning

confidence: 99%

Self-Care Among Older Adults With Heart Failure

Attaallah

Klymko²,

Hopp

2016

Gerontology and Geriatric Medicine

View full text Add to dashboard Cite

Background: It is estimated that 5.7 million Americans are living with heart failure (HF) today. Despite the fact that HF is one of the most common reasons people aged 65 years and older are admitted into the hospital, few studies describe the self-care in this older adult population. Purpose: The purpose of the study was to review the current literature on self-care in this population to better understand the influence of selected factors on self-care and health outcomes. Methods: A literature search was completed and resulted in including 28 studies. Results: Multiple factors have been reported as barriers to self-care including depression and presence of peripheral arterial disease. Factors having a positive effect on self-care are male gender, number of cardiologist referrals, and self-efficacy. There were few studies that described the association between cognitive functioning and self-care. There is a lack of strong evidence to support the association between self-care and health outcomes such as readmission rate, but recent studies suggest that a 30-day readmission is not a valid predictor of health outcomes. Implications: The assessment of the psychological factors and health care resource utilization patterns that may influence self-care is recommended. More research that addresses the role of cognitive factors in influencing self-care is needed.

show abstract

Section: Resultsmentioning

confidence: 99%

Self-Care Among Older Adults With Heart Failure

Attaallah

Klymko²,

Hopp

2016

Gerontology and Geriatric Medicine

View full text Add to dashboard Cite

show abstract

“…Because this idea of low cognitive deficit has not commanded general consensus [ 3 , 55 , 56 ], we refer to emerging studies in the literature which have proposed various deficit thresholds. Nordlund and co-authors, for instance, used the threshold of 1.5 standard deviations below clinical age norms to define mild cognitive deficits [ 57 ]; while Sotaniemi and co-authors used less than four delayed words recalled as the threshold for low cognitive deficits [ 58 ], and the investigators of the Assets and Health Dynamics of the Oldest Old study in the US used less than eight of the total mental scores as the threshold [ 59 ].…”

Section: Discussionmentioning

confidence: 99%

Cognitive Ageing in Great Britain in the New Century: Cohort Differences in Episodic Memory

Tampubolon

2015

PLoS ONE

View full text Add to dashboard Cite

BackgroundDementias in high income countries are set to be the third major burden of disease even as older people are increasingly required to think for themselves how to provide for their lives in retirement. Meanwhile the period of older age continues to extend with increase in life expectancy. This challenge demands an understanding of how cognition changes over an extended period in later life. But studying cognitive ageing in the population faces a difficulty from the fact that older respondents are liable to leave (attrite) before study completion. This study tested three hypotheses: trajectories of cognitive ageing in Britain show an improvement beyond the age of 50; and they are lifted by secular improvement in cognition across cohorts; lastly they are susceptible to distortion due to attrition.Methods and FindingsUsing the English Longitudinal Study of Ageing, this paper studied trajectories of episodic memory of Britons aged 50–89 from 2002 to 2013 (N = 5931). Using joint models the analysis found that levels of episodic memory follow a curvilinear shape, not a steady decline, in later life. The findings also revealed secular improvement in cognitive ageing such that as a cohort is being replaced episodic memory levels in the population improve. The analysis lastly demonstrated that failure to simultaneously model attrition can produce distorted pictures of cognitive ageing.ConclusionOld age in this century is not necessarily a period dominated by cognitive decline. In identifying behavioural factors associated with better cognitive ageing, such as social connections of traditional and online kinds, the paper raises possibilities of mustering an adequate response to the cognition challenge.

show abstract

“…Cognitive impairment is a major issue in patients with HF, with prevalence rates reported between 25 [32] to 80% [33], depending on how cognition is assessed and classified. When memory, attention, problem-solving, and psychomotor speed are even slightly impaired, it can negatively impact on patient engagement in HF self-care [34–38].…”

Section: Functional and Cognitive Abilitiesmentioning

confidence: 99%

Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update

Jaarsma

Cameron

Riegel

et al. 2017

Curr Heart Fail Rep

189

177

View full text Add to dashboard Cite

Purpose of the ReviewAs described in the theory of self-care in chronic illness, there is a wide range of factors that can influence self-care behavior. The purpose of this paper is to summarize the recent heart failure literature on these related factors in order to provide an overview on which factors might be suitable to be considered to make self-care interventions more successful.Recent FindingsRecent studies in heart failure patients confirm that factors described in the theory of self-care of chronic illness are relevant for heart failure patients.SummaryExperiences and skills, motivation, habits, cultural beliefs and values, functional and cognitive abilities, confidence, and support and access to care are all important to consider when developing or improving interventions for patients with heart failure and their families. Additional personal and contextual factors that might influence self-care need to be explored and included in future studies and theory development efforts.

show abstract

Frequent Mild Cognitive Deficits in Several Functional Domains in Elderly Patients With Heart Failure Without Known Cognitive Disorders

Cited by 20 publications

References 38 publications

Self-Care Among Older Adults With Heart Failure

Self-Care Among Older Adults With Heart Failure

Cognitive Ageing in Great Britain in the New Century: Cohort Differences in Episodic Memory

Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update

Contact Info

Product

Resources

About