دورية أكاديمية
أعرض في EDS

Recognition of cognitive impairment and depressive symptoms in older patients with heart failure.

التفاصيل البيبلوغرافية
العنوان: Recognition of cognitive impairment and depressive symptoms in older patients with heart failure.
المؤلفون: Oud FMM; Department of Geriatrics, Gelre Hospitals, Apeldoorn & Zutphen, The Netherlands. Frederike.oud@gelre.nl.; Department of Internal Medicine, University Medical Centre Groningen, Groningen, The Netherlands. Frederike.oud@gelre.nl., Spies PE; Department of Geriatrics, Gelre Hospitals, Apeldoorn & Zutphen, The Netherlands., Braam RL; Department of Cardiology, Gelre Hospitals, Apeldoorn & Zutphen, The Netherlands., van Munster BC; Department of Geriatrics, Gelre Hospitals, Apeldoorn & Zutphen, The Netherlands.; Department of Internal Medicine, University Medical Centre Groningen, Groningen, The Netherlands.
المصدر: Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation [Neth Heart J] 2021 Jul; Vol. 29 (7-8), pp. 377-382. Date of Electronic Publication: 2020 Dec 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Bohn Stafleu van Loghum Country of Publication: Netherlands NLM ID: 101095458 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1568-5888 (Print) Linking ISSN: 15685888 NLM ISO Abbreviation: Neth Heart J Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: Houten : Bohn Stafleu van Loghum
Original Publication: Leusden, The Netherlands : Mediselect bv, c2001-
مستخلص: Introduction: Cognitive impairment and depression in patients with heart failure (HF) are common comorbidities and are associated with increased morbidity, readmissions and mortality. Timely recognition of cognitive impairment and depression is important for providing optimal care. The aim of our study was to determine if these disorders were recognised by clinicians and, secondly, if they were associated with hospital admissions and mortality within 6 months' follow-up.
Methods: Patients (aged ≥65 years) diagnosed with HF were included from the cardiology outpatient clinic of Gelre Hospitals. Cognitive status was evaluated with the Montreal Cognitive Assessment test (score ≤22). Depressive symptoms were assessed with the Geriatric Depression Scale (score >5). Patient characteristics were collected from electronic patient files. The clinician was blinded to the tests and asked to assess cognitive status and mood.
Results: We included 157 patients. Their median age was 79 years (65-92); 98 (62%) were male. The majority had New York Heart Association functional class II. Cognitive impairment was present in 56 (36%) patients. Depressive symptoms were present in 21 (13%) patients. In 27 of 56 patients (48%) cognitive impairment was not recognised by clinicians. Depressive symptoms were not recognised in 11 of 21 patients (52%). During 6 months' follow-up 24 (15%) patients were readmitted for HF-related reasons and 18 (11%) patients died. There was no difference in readmission and mortality rate between patients with or without cognitive impairment and patients with or without depressive symptoms.
Conclusion: Cognitive impairment and depressive symptoms were infrequently recognised during outpatient clinic visits.
(© 2020. The Author(s).)
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فهرسة مساهمة: Keywords: Cognitive dysfunction; Dementia; Depression; Depressive symptoms; Heart failure
تواريخ الأحداث: Date Created: 20201215 Latest Revision: 20210721
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC8271051
DOI: 10.1007/s12471-020-01527-6
PMID: 33320302
قاعدة البيانات: MEDLINE
الوصف
تدمد:1568-5888
DOI:10.1007/s12471-020-01527-6