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Assessment of cognitive function in heart failure patients

Wolfe, Rachel, Worrall-Carter, Linda, Foister, Kellie, Keks, Nicholas and How, Vivienne 2006, Assessment of cognitive function in heart failure patients, European journal of cardiovascular nursing, vol. 5, no. 2, pp. 158-164, doi: 10.1016/j.ejcnurse.2005.10.005.

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Title Assessment of cognitive function in heart failure patients
Author(s) Wolfe, Rachel
Worrall-Carter, Linda
Foister, Kellie
Keks, Nicholas
How, Vivienne
Journal name European journal of cardiovascular nursing
Volume number 5
Issue number 2
Start page 158
End page 164
Publisher Elsevier BV
Place of publication Amsterdam, The Netherlands
Publication date 2006-06
ISSN 1474-5151
1873-1953
Keyword(s) heart failure
cardiovascular
cognition
rehabilitation
neuropsychological testing
Summary Background
Research on the cognitive capacity of heart failure patients is limited, with a paucity of benchmark information available for this population. It is highly likely that cognitive deficits affect patients' understanding of disease and treatment requirements, as well as limiting their functional capacity and ability to implement treatment plans, and undertake self-care.

Aims
The purpose of this study was to establish a comprehensive neurocognitive profile of the heart failure patient through systematic neurocognitive assessment and to determine whether an association existed between severity of heart failure and cognitive abilities.

Methods
Thirty-eight patients were recruited from the heart failure patient databases of two metropolitan hospitals in Melbourne, Australia. Participants were individually assessed using four standardised, internationally recognised neuropsychological tests that examined current and premorbid intelligence, memory and executive functioning.

Results
Although there was no significant decline from premorbid general intellectual function, other specific areas of deficit, including impaired memory and executive functioning, were identified. There were no significant correlations between heart failure severity and the neurocognitive measures used.

Conclusion
The results support the need to recognise cognitive impairment in people with heart failure and to develop an abbreviated method of assessing cognitive function that can be easily implemented in the clinical setting. Identifying cognitive deficits in this population will be useful in guiding the content and nature of treatment plans to maximise adherence and minimise worsening of heart failure symptoms.
Language eng
DOI 10.1016/j.ejcnurse.2005.10.005
Field of Research 111799 Public Health and Health Services not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2005, European Society of Cardiology
Persistent URL http://hdl.handle.net/10536/DRO/DU:30003640

Document type: Journal Article
Collection: School of Nursing and Midwifery
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