HF is a rising global health epidemic affecting approximately 63.4 million people worldwide and 80% of patients with heart failure are 65 years or older. Heart failure (HF) is a clinical syndrome resulting from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill or eject blood ( 1). Future studies need to address methodological issues to validate cognitive screening measures in a larger population of Asian patients with heart failure. However, validating brief cognitive tests against a gold standard formal neuropsychological assessment in Asian patients with heart failure is lacking. The presence of cognitive impairment in patients with heart failure is associated with poorer self-care, quality of life, and hospital readmission.Ĭonclusion: Brief cognitive tests have been used in Asian patients with heart failure and these tests are frequently used as a measure of global cognitive function for cognitive screening. Among these studies, patients with heart failure tended to perform worse than patients without heart failure. Only one study validated screening tests against a gold standard formal neuropsychological assessment test battery. In the rest 16 studies, brief cognitive tests were used as screening tools for global cognition. Only in five studies, cognitive brief tests, including the Montreal Cognitive Assessment (MoCA), the Mini-Mental State Examination (MMSE), and the Mini-Cog, were used as cognitive screening tools for Asian patients with heart failure. Results: The search yielded 21 eligible studies. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach, we searched PubMed, Embase, the Cumulative Index to Nursing and Allied Health Literature, Scopus, the Web of Science, PsycINFO, the Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, and Wanfang Data in English and Chinese literatures concerning heart failure and cognitive impairment. Methods: This review is registered in the PROSPERO (CRD42021264288). The clinical implications based on our systematic review may help to improve cognitive screening practice for patients with heart failure in Asia. There is still no consensus on cognitive screening tools to detect cognitive impairment in the Asian heart failure population. 3Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singaporeīackground: The prevalence of undiagnosed cognitive impairment in patients with heart failure is alarmingly high in Asia.1School of Nursing, Shandong First Medical University & Shandong Academy of Medical Sciences, Taian, China.Qi Niu 1 WeiHua Liu 1 * FengLing Wang 2 LiYa Tian 1 YanHong Dong 1,3 *
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |