دورية أكاديمية
أعرض في EDS

Longitudinal Effects of Left Ventricular Assist Device Implantation on Global and Domain-Specific Cognitive Function.

التفاصيل البيبلوغرافية
العنوان: Longitudinal Effects of Left Ventricular Assist Device Implantation on Global and Domain-Specific Cognitive Function.
المؤلفون: Faulkner KM, Chien CV, Denfeld QE, Gelow JM, Lyons KS, Grady KL, Mudd JO, Lee CS
المصدر: The Journal of cardiovascular nursing [J Cardiovasc Nurs] 2022 Jan-Feb 01; Vol. 37 (1), pp. 31-40.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8703516 Publication Model: Print Cited Medium: Internet ISSN: 1550-5049 (Electronic) Linking ISSN: 08894655 NLM ISO Abbreviation: J Cardiovasc Nurs Subsets: MEDLINE
أسماء مطبوعة: Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [Frederick, MD : Aspen Publishers, c1986-
مواضيع طبية MeSH: Cognitive Dysfunction*/complications , Heart Failure*/complications , Heart-Assist Devices*, Adult ; Cognition ; Executive Function ; Humans ; Retrospective Studies ; Treatment Outcome ; Ventricular Function, Left
مستخلص: Background: Left ventricular assist devices (LVADs) are a common treatment of advanced heart failure, but cognitive dysfunction, which is common in heart failure, could limit the ability to perform postimplantation LVAD care. Implantation of an LVAD has been associated with improved cerebral perfusion and may improve cognitive function post implantation.
Objective: The aim of this study was to quantify longitudinal change in cognitive function after LVAD implantation.
Methods: A secondary analysis of data on 101 adults was completed to evaluate cognitive function before implantation and again at 1, 3, and 6 months post implantation of an LVAD. Latent growth curve modeling was conducted to characterize change over time. Serial versions of the Montreal Cognitive Assessment were used to measure overall (total) cognitive function and function in 6 cognitive domains.
Result: There was moderate, nonlinear improvement from preimplantation to 6 months post implantation in Montreal Cognitive Assessment total score (Hedges' g = 0.50) and in short-term memory (Hedges' g = 0.64). There also were small, nonlinear improvements in visuospatial ability, executive function, and attention from preimplantation to 6 months post implantation (Hedges' g = 0.20-0.28). The greatest improvements were observed in the first 3 months after implantation and were followed by smaller, sustained improvements or no additional significant change.
Conclusions: Implantation of an LVAD is associated with significant, nonlinear improvement in short-term memory and global cognitive function, with the most significant improvements occurring in the first 3 months after implantation. Clinicians should anticipate improvements in cognitive function after LVAD implantation and modify postimplantation education to maximize effectiveness of LVAD self-care.
(Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.)
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معلومات مُعتمدة: R01 NR013492 United States NR NINR NIH HHS; K12 HD043488 United States HD NICHD NIH HHS
تواريخ الأحداث: Date Created: 20210323 Date Completed: 20220324 Latest Revision: 20220324
رمز التحديث: 20240628
DOI: 10.1097/JCN.0000000000000709
PMID: 33755380
قاعدة البيانات: MEDLINE
الوصف
تدمد:1550-5049
DOI:10.1097/JCN.0000000000000709