Assessment of Cognitive Function in Heart Failure Patients

Wolfe, R R; Worrall‐Carter, Linda; Foister, Kellie; Keks, Nicholas A; Howe, Vivienne

doi:10.1016/j.ejcnurse.2005.10.005

Cited by 32 publications

(26 citation statements)

References 30 publications

(43 reference statements)

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“…13 Older age is associated with lower education, 13 poorer cognitive function, 13 lower frequency of reading a newspaper, 13 impaired memory and recall. 37 Health literacy is associated with years of education completed, 13,38–40 ethnicity, 38 economic condition, 39,40 cognitive function, 13,37 perceived health status, 41 comorbidity, 38,41 and frequency of reading a newspaper. 13 It is possible that cognitive function or other factors might play a role in the link between older age and low health literacy.…”

Section: Discussionmentioning

confidence: 99%

Health Literacy Mediates the Relationship Between Age and Health Outcomes in Patients With Heart Failure

Moser

DeWalt

et al. 2016

Circ: Heart Failure

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BACKGROUND Prior studies have linked frequent rehospitalizations for heart failure (HF) and increased mortality with older age, higher severity of HF, lack of an evidence-based medication regimen, and inadequate health literacy. However, the pathway between age and health outcomes in patients with HF remains unknown. Therefore, the purpose of this study was to test whether the association between age and health outcomes can be explained by severity of HF, evidence-based medication use, and health literacy in patients with HF. METHODS AND RESULTS This was a longitudinal study of 575 rural patients with HF recruited from outpatient clinics and hospitals. Demographics, clinical data, and health literacy were collected at baseline. HF readmissions and cardiac mortality were followed for 2 years. 57% of patients were 65 years or older. Older HF patients were more likely to have low health literacy and less likely to be prescribed angiotensin-converting-enzyme inhibitors or beta-blockers. Using Kaplan-Meier survival curves with log-rank tests, health outcomes were significantly worse in patients who were 65 years or older and in those with low health literacy. Separate Cox regressions revealed that age and health literacy predicted worse health outcomes (p =.006 and <.001, respectively). When health literacy was entered into the model, the hazard ratio for age changed from 1.49 to 1.29 (a 41% reduction); age was no longer a significant predictor of health outcomes, but health literacy remained significant (p < .001), demonstrating mediation. CONCLUSIONS Health literacy mediates the relationship between age and health outcomes in adults with HF. CLINICAL TRIAL REGISTRATION URL: http://www.ClinicalTrials.gov. Unique identifier: NCT00415545.

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Section: Discussionmentioning

confidence: 99%

Health Literacy Mediates the Relationship Between Age and Health Outcomes in Patients With Heart Failure

Moser

DeWalt

et al. 2016

Circ: Heart Failure

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“…Furthermore, the complexity and collection of symptoms associated with CHF cause functional and cognitive impairments that contribute to the challenge of living with this chronic illness. [22][23][24] Indeed, patients with CHF appear to have a 1.6-fold increase in risk for developing cognitive impairment than normal controls. 25 Patients with impaired cognition have poor health outcomes, even when enrolled in the Chronic Heart Failure Management Program (CHF-MP).…”

mentioning

confidence: 97%

Testing a model of patient characteristics, psychologic status, and cognitive function as predictors of self-care in persons with chronic heart failure

Cameron¹,

Worrall‐Carter²,

Riegel³

et al. 2009

Heart & Lung

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129

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“…The RBANS has good reliability and validity and has demonstrated usefulness with HF patients. 40,47,48 For this study, Randolph’s norms were used. 46 …”

Section: Methodsmentioning

confidence: 99%