Your browser doesn't support javascript.
loading
Burden of Psychosocial and Cognitive Impairment in Patients With Atrial Fibrillation.
Bostrom, John A; Saczynski, Jane S; Hajduk, Alexandra; Donahue, Kevin; Rosenthal, Lawrence S; Browning, Clifford; Ennis, Cynthia; Floyd, Kevin C; Richardson, Heather; Esa, Nada; Ogarek, Jessica; McManus, David D.
Afiliación
  • Bostrom JA; From the *Cardiology Division, Department of Medicine, University of Massachusetts Medical School, Worcester, MA; †Department of Pharmacy, Northeastern University, Boston, MA; ‡Epidemiology Division, Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA; §Section of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT; ¶Center for Gerontology & Healthcare Research, Brown University School of Public Health, Provide
Crit Pathw Cardiol ; 16(2): 71-75, 2017 06.
Article en En | MEDLINE | ID: mdl-28509707
ABSTRACT

BACKGROUND:

Impairments in psychosocial status and cognition relate to poor clinical outcomes in patients with atrial fibrillation (AF). However, how often these conditions co-occur and associations between burden of psychosocial and cognitive impairment and quality of life (QoL) have not been systematically examined in patients with AF.

METHODS:

A total of 218 patients with symptomatic AF were enrolled in a prospective study of AF and psychosocial factors between May 2013 and October 2014 at the University of Massachusetts Medical Center. Cognitive function, depression, and anxiety were assessed at baseline and AF-specific QoL was assessed 6 months after enrollment using validated instruments. Demographic and clinical information were obtained from a structured interview and medical record review.

RESULTS:

The mean age of the study participants was 63.5 ± 10.2 years, 35% were male, and 81% had paroxysmal AF. Prevalences of impairment in 1, 2, and 3 psychosocial/cognitive domains (eg, depression, anxiety, or cognition) were 75 (34.4%), 51 (23.4%), and 16 (7.3%), respectively. Patients with co-occurring psychosocial/cognitive impairments (eg, >1 domain) were older, more likely to smoke, had less education, and were more likely to have heart failure (all P < 0.05). Compared with participants with no psychosocial/cognitive impairments, AF-specific QoL at 6 months was significantly poorer among participants with baseline impairment in 2 (B = -13.6, 95% CI -21.7 to -5.4) or 3 (B = -15.1, 95% CI -28.0 to -2.2) psychosocial/cognitive domains.

CONCLUSION:

Depression, anxiety, and impaired cognition were common in our cohort of patients with symptomatic AF and often co-occurred. Higher burden of psychosocial/cognitive impairment was associated with poorer AF-specific QoL.
Asunto(s)

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Calidad de Vida / Fibrilación Atrial / Costo de Enfermedad / Disfunción Cognitiva Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Crit Pathw Cardiol Asunto de la revista: CARDIOLOGIA Año: 2017 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Calidad de Vida / Fibrilación Atrial / Costo de Enfermedad / Disfunción Cognitiva Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Crit Pathw Cardiol Asunto de la revista: CARDIOLOGIA Año: 2017 Tipo del documento: Article