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The Study of Cognitive Function and Related Factors in Patients With Heart Failure

BACKGROUND: Cognitive impairment is increasingly recognized as a common adverse consequence of heart failure. Both Heart failure and cognitive impairment are associated with frequent hospitalization and increased mortality, particularly when they occur simultaneously. OBJECTIVES: To determine cognit...

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Autores principales: Ghanbari, Atefeh, Moaddab, Fatemeh, Salari, Arsalan, Kazemnezhad Leyli, Ehsan, Sedghi Sabet, Mitra, Paryad, Ezzat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kashan University of Medical Sciences 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4228542/
https://www.ncbi.nlm.nih.gov/pubmed/25414874
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author Ghanbari, Atefeh
Moaddab, Fatemeh
Salari, Arsalan
Kazemnezhad Leyli, Ehsan
Sedghi Sabet, Mitra
Paryad, Ezzat
author_facet Ghanbari, Atefeh
Moaddab, Fatemeh
Salari, Arsalan
Kazemnezhad Leyli, Ehsan
Sedghi Sabet, Mitra
Paryad, Ezzat
author_sort Ghanbari, Atefeh
collection PubMed
description BACKGROUND: Cognitive impairment is increasingly recognized as a common adverse consequence of heart failure. Both Heart failure and cognitive impairment are associated with frequent hospitalization and increased mortality, particularly when they occur simultaneously. OBJECTIVES: To determine cognitive function and related factors in patients with heart failure. MATERIALS AND METHODS: In this descriptive cross-sectional study, we assessed 239 patients with heart failure. Data were collected by Mini Mental status Examination, Charlson comorbidity index and NYHA classification system. Data were analyzed using descriptive statistics, Kolmogorov-Smirnov test, chi-square test, t-test and logistic regression analysis. RESULTS: The mean score of cognitive function was 21.68 ± 4.51. In total, 155 patients (64.9%) had cognitive impairment. Significant associations were found between the status of cognitive impairment and gender (P < 0.002), education level (P < 0.000), living location (P < 0.000), marital status (P < 0.03), living arrangement (P < 0.001 ), employment status (P < 0.000), income (P < 0.02), being the head of family (P < 0.03), the family size (P < 0.02), having a supplemental insurance (P < 0.003) and the patient’s comorbidities (P < 0.02). However, in logistic regression analysis, only education and supplementary insurance could predict cognitive status which indicates that patients with supplementary insurance and higher education levels were more likely to maintain optimal cognitive function. CONCLUSIONS: More than a half of the subjects had cognitive impairment. As the level of patients cognitive functioning affects their behaviors and daily living activities, it is recommended that patients with heart failure should be assessed for their cognitive functioning.
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spelling pubmed-42285422014-11-20 The Study of Cognitive Function and Related Factors in Patients With Heart Failure Ghanbari, Atefeh Moaddab, Fatemeh Salari, Arsalan Kazemnezhad Leyli, Ehsan Sedghi Sabet, Mitra Paryad, Ezzat Nurs Midwifery Stud Research Article BACKGROUND: Cognitive impairment is increasingly recognized as a common adverse consequence of heart failure. Both Heart failure and cognitive impairment are associated with frequent hospitalization and increased mortality, particularly when they occur simultaneously. OBJECTIVES: To determine cognitive function and related factors in patients with heart failure. MATERIALS AND METHODS: In this descriptive cross-sectional study, we assessed 239 patients with heart failure. Data were collected by Mini Mental status Examination, Charlson comorbidity index and NYHA classification system. Data were analyzed using descriptive statistics, Kolmogorov-Smirnov test, chi-square test, t-test and logistic regression analysis. RESULTS: The mean score of cognitive function was 21.68 ± 4.51. In total, 155 patients (64.9%) had cognitive impairment. Significant associations were found between the status of cognitive impairment and gender (P < 0.002), education level (P < 0.000), living location (P < 0.000), marital status (P < 0.03), living arrangement (P < 0.001 ), employment status (P < 0.000), income (P < 0.02), being the head of family (P < 0.03), the family size (P < 0.02), having a supplemental insurance (P < 0.003) and the patient’s comorbidities (P < 0.02). However, in logistic regression analysis, only education and supplementary insurance could predict cognitive status which indicates that patients with supplementary insurance and higher education levels were more likely to maintain optimal cognitive function. CONCLUSIONS: More than a half of the subjects had cognitive impairment. As the level of patients cognitive functioning affects their behaviors and daily living activities, it is recommended that patients with heart failure should be assessed for their cognitive functioning. Kashan University of Medical Sciences 2013-09-15 2013-09 /pmc/articles/PMC4228542/ /pubmed/25414874 Text en Copyright © 2013, Kashan University of Medical Sciences. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Ghanbari, Atefeh
Moaddab, Fatemeh
Salari, Arsalan
Kazemnezhad Leyli, Ehsan
Sedghi Sabet, Mitra
Paryad, Ezzat
The Study of Cognitive Function and Related Factors in Patients With Heart Failure
title The Study of Cognitive Function and Related Factors in Patients With Heart Failure
title_full The Study of Cognitive Function and Related Factors in Patients With Heart Failure
title_fullStr The Study of Cognitive Function and Related Factors in Patients With Heart Failure
title_full_unstemmed The Study of Cognitive Function and Related Factors in Patients With Heart Failure
title_short The Study of Cognitive Function and Related Factors in Patients With Heart Failure
title_sort study of cognitive function and related factors in patients with heart failure
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4228542/
https://www.ncbi.nlm.nih.gov/pubmed/25414874
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