What is your patient's cognitive profile? Three distinct subgroups of cognitive function in persons with heart failure.
Appl Nurs Res
; 28(2): 186-91, 2015 May.
Article
en En
| MEDLINE
| ID: mdl-25510559
ABSTRACT
PURPOSE:
The aim of this study was to determine whether patients with heart failure (HF) have distinct profiles of cognitive impairment.BACKGROUND:
Cognitive impairment is common in HF. Recent work found three cognitive profiles in HF patients-(1) intact, (2) impaired, and (3) memory-impaired. We examined the reproducibility of these profiles and clarified mechanisms.METHODS:
HF patients (68.6 ± 9.7 years; N=329) completed neuropsychological testing. Composite scores were created for cognitive domains and used to identify clusters via agglomerative-hierarchical cluster analysis.RESULTS:
A 3-cluster solution emerged. Cluster 1 (n=109) had intact cognition. Cluster 2 (n=123) was impaired across all domains. Cluster 3 (n=97) had impaired memory only. Clusters differed in age, race, education, SES, IQ, BMI, and diabetes (ps ≤ .026) but not in mood, anxiety, cardiovascular, or pulmonary disease (ps ≥ .118).CONCLUSIONS:
We replicated three distinct patterns of cognitive function in persons with HF. These profiles may help providers offer tailored care to patients with different cognitive and clinical needs.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Cognición
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Insuficiencia Cardíaca
Tipo de estudio:
Prognostic_studies
Límite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Appl Nurs Res
Asunto de la revista:
ENFERMAGEM
Año:
2015
Tipo del documento:
Article