使用简短的查测试和心血管和非心血管事件评估心力衰竭的老年患者的认知衰退
Takuji Adachi1,2, Yuki Tsunekawa3, Daisuke Tanimura4
1Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, 1-1-20 Daiko-Minami, Higashi-Ku, Nagoya, 461-8673, Japan. t.adachi@met.nagoya-u.ac.jp.
Aging clinical and experimental research
|November 3, 2023
概括
心力衰竭 (HF) 患者的认知衰退使心血管事件的风险增加了一倍. 在出院时进行简短的认知查有助于识别高风险个体,以更好地管理HF.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 认知能力下降是心力衰竭 (HF) 的已知预后因素.
- 认知衰退对HF患者心血管和非心血管结局的具体影响需要进一步澄清.
研究的目的:
- 调查通过简短查工具确定的认知衰退与老年HF患者随后发生的心血管和非心血管事件之间的关联.
主要方法:
- 这项研究涉及146名住院的心力衰竭患者 (平均年龄77岁).
- 认知能力下降被定义为在医院出院后快速痴呆查测试中≤9的得分.
主要成果:
- 认知能力下降的患者在出院后心血管事件的发生率增加了两倍 (调整HR=2.30).
- 认知衰退和非心血管事件之间的联系在调整混因素后变得不那么显著.
结论:
- 认知评估在临床上是有价值的,用于分层心力衰竭患者心血管不良事件的风险.
- 早期识别认知障碍可以改善心力衰竭的风险评估和管理策略.
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