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Utility of blood pressure measurements at an initial screening visit to identify Chinese children and adolescents with hypertension
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Switching of oral anticoagulants in patients with nonvalvular atrial fibrillation: A narrative review
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Implementation of cascade genetic screening for familial hypercholesterolemia: Design of the Swiss catch randomized controlled trial
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In: EAS 2021 abstracts : European Atherosclerosis Society, vol. 331, pp. e184 (2021)
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UK consensus on pre-clinical vascular cognitive impairment functional outcomes assessment: questionnaire and workshop proceedings
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Coronary artery disease reporting and data system (CAD-RADSTM): Inter-observer agreement for assessment categories and modifiers
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A systematic approach to chronic heart failure care: a consensus statement
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Cognitive Impairment in Heart Failure: Issues of Measurement and Etiology
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In: School of Nursing Departmental Papers (2002)
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Abstract:
Background: Clinicians need easy methods of screening for cognitive impairment in patients with heart failure. If correlates of cognitive impairment could be identified, more patients with early cognitive impairment could be treated before the problem interfered with adherence to treatment. Objectives: To describe cognitive impairment in patients with heart failure, to explore the usefulness of 4 measures of cognitive impairment, and to assess correlates of cognitive impairment. Methods: A descriptive, correlational design was used. Four screening measures of cognition were assessed in 42 patients with heart failure: Commands subtest and Complex Ideational Material subtest of the Boston Diagnostic Aphasia Examination, Mini-Mental State Examination, and Draw-a-Clock Test. Cognitive impairment was defined as performance less than the standardized (T-score) cutoff point on at least 1 of the 4 measures. Possible correlates of cognitive impairment included age, education, hypotension, fluid overload (serum osmolality Results: Cognitive impairment was detected in 12 (28.6%) of 42 participants. The 4 screening tests varied in effectiveness, but the Draw-a-Clock Test indicated impairment in 50% of the 12 impaired patients. A summed standardized score for the 4 measures was not significantly associated with age, education, hypotension, fluid overload, or dehydration in this sample. Conclusions: Cognitive impairment is relatively common in patients with heart failure. The Draw-a-Clock Test was most useful in detecting cognitive impairment, although it cannot be used to detect problems with verbal learning or delayed recall and should not be used as the sole screening method for patients with heart failure. Correlates of cognitive impairment require further study.
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Keyword:
Cardiology; Cardiovascular Diseases; Circulatory and Respiratory Physiology; Health and Medical Administration; Medical Humanities; Medicine and Health Sciences; Neurology; Neurosciences; Nursing
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URL: https://repository.upenn.edu/cgi/viewcontent.cgi?article=1148&context=nrs
https://repository.upenn.edu/nrs/148
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