GLS has an incremental value over LVEF for risk stratification in patients referred for cardiac surgery.

consecutive patients aged 70 years or older with SE were included. Each patient was matched to three controls without SE seen during the same period. Matching variables were age (±3 years), gender, and comorbidity index (±3). Multivariate logistic regression model were used to compare cases to controls and, among the cases, nonsurvivors to survivors. Key Findings: By multivariate analysis, factors independently associated with SE were acute decompensation (cardiac, respiratory, or hepatic) [adjusted odds ratio (OR a ) 2.57, 95% confidence interval (95% CI) 1.05-6.25] history of epilepsy (OR a 3.93, 95% CI 1.27-12.14), chronic cerebrovascular disease (OR a 7.96, 95% CI 3.31-19.15), nonvascular dementia (OR a 4.16, 95% CI 1.86-9.29), and dysnatremia (OR a 5.08, 95% CI 2.34-11.04). In-hospital 1-month mortality was 2.3 times higher among cases than controls (14/63, 22.0%; 95% CI 12.7-34.5%; vs. 18/189, 9.5%; 95% CI 5.7-14.7%; p = 0.01). Among the cases, factors independently associated with in-hospital death within 1 month were younger age (OR a per 1-year increase 0.87, 95% CI 0.76-0.98), higher comorbidity index (OR a per 1-point increase 1.27, 95% CI 1.07-1.55), and de novo SE (OR a 14.95, 95% CI 2. 24-192.8). Significance: Independent predictors of SE in hospitalized patients aged 70 years or older were acute decompensation (cardiac, respiratory, or hepatic), history of epilepsy, chronic cerebrovascular disease, nonvascular dementia, and dysnatremia. Factors that independently predicted death in patients with SE were younger age, higher comorbidity index, and de novo SE.

The Test Your Memory (TYM) test has been proposed for screening dementia. We present a French version and its validation in memory clinics. F-TYM was administered to 201 patients with memory complaints visiting five secondary referral hospital centers. Final diagnosis was dementia in 34%, amnestic mild cognitive impairment (MCI) in 32%, non-amnestic MCI in 11%, absence of cognitive disorder in 23% and F-TYM scores were respectively (M ± SD) 30.9 ± 7.6, 40.5 ± 6.3, 44.3 ± 4.5 and 43.5 ± 6.6 (p < .0001). F-TYM showed high correlation with MMSE (r = .78), excellent internal consistency, no effect of educational level, sex, or mood but a significant effect of age (p = .004). A F-TYM score ≤ 39 had 0.90 sensitivity and 0.70 specificity for diagnosis of dementia. F-TYM was unable to discriminate MCI and patients without cognitive disorders. F-TYM could be proposed for screening of dementia in patients with memory complaints.