在心力衰竭中进行认知和预后评估的六项查:与迷你cog进行比较
Koji Matsuo1, Kentaro Kamiya2, Daichi Maeda3
1Department of Rehabilitation Sciences, Kitasato University Graduate School of Medical Sciences, Sagamihara, Japan; Department of Rehabilitation, Sagamihara Kyodo Hospital, Sagamihara, Japan.
Journal of cardiology
|November 30, 2025
概括
六项选器有效地识别老年心力衰竭 (HF) 患者的认知功能障碍,并预测死亡率,性能与Mini-Cog.相比.
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:
- 认知功能障碍在心力衰竭 (HF) 患者中很常见,并且与不良结果有关.
- 六项选器是一个简单的,不需要设备的工具,用于在各种环境中评估认知能力.
- 患有HF的老年人特别容易受到认知障碍的影响.
研究的目的:
- 评估六项选器在老年HF患者中检测认知功能障碍的能力.
- 为了比较六项选器对所有死因的预后能力与Mini-Cog.
- 评估六项选器和Mini-Cog在识别认知障碍方面的协议.
主要方法:
- 从FRAGILE-HF队列中对1316名65岁以上的患者进行了后期分析.
- 认知功能障碍定义为六项选器≤4和迷你cog≤2.
- 使用科恩的卡帕评估的协议;通过考克斯模型和AUC分析预测死亡率.
主要成果:
- 认知功能障碍的患病率为42.9% (六项查) 和38.5% (迷你Cog),与中等协议 (kappa=0.55).
- 这两种工具都确定了与所有原因死亡率增加相关的认知功能障碍 (六项选器HR 1.30;迷你CogHR 1.44).
- 对于死亡率预测的曲线下的面积 (AUC) 值在两种查方法中都相似.
结论:
- 六项选器是识别老年心力衰竭患者认知功能障碍的有效工具.
- 它对死亡率的预后性能与已建立的Mini-Cog.可比.
- 这种简短的查工具可以很容易地在临床实践中用于HF管理.
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