Mini-Cog Performance: A Novel Marker of Risk Among Patients Hospitalized for Heart Failure

Patel, Apurva; Parikh, Roosha; Howell, Erik H.; Hsich, Eileen; Gorodeski, Eiran Z.

doi:10.1016/s0735-1097(14)60755-5

Cited by 39 publications

(77 citation statements)

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“…Current use of mHealth or smart phone technology was not an inclusion criterion because we wanted a range of experiences and perceptions. Potential “in-person” participants were excluded if they were unable to read/understand English, had a history of dementia or had cognitive impairment (Mini-Cog 21,22 score ≤ 2), resided in a nursing home (prior to hospital admission), or were hospitalized for acute MIs and/or need emergent cardiac surgery, or advanced stage of HF (NYHA functional class IV – patient exhibits HF symptoms/shortness of breath even at rest per assigned nurse’s report). Intact cognitive functioning was assumed for the “online” group.…”

Section: Methodsmentioning

confidence: 99%

Intention to Use mHealth in Older Adults With Heart Failure

et al. 2017

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Background mHealth, or the use of mobile technology in healthcare, is becoming increasingly common. In heart failure (HF), mHealth has been associated with improved self-management and quality of life. However, it is known that older adults continue to lag behind their younger counterparts when it comes to mobile technology adoption. Objective The primary aim of this study was to examine factors that influence intention to use mHealth among older adults with HF Methods An adapted Technology Acceptance Model was used to guide this cross-sectional, correlational study. Convenience sampling was used to participants from a large university hospital and online. Results A total of 129 older adults with HF participated in the study. Social influence (β=0.17, P=0.010), perceived ease of use (β=0.16, P<0.001), and perceived usefulness (β=0.33, P<0.001) were significantly associated with intention to use mHealth even after controlling for potential confounders (age, gender, race, education, income, and smartphone use). Perceived financial cost and eHealth literacy were not significantly associated with intention to use mHealth. Conclusions Researchers should consider using the participatory approach in developing their interventions in order to ensure that their mHealth-based interventions will not only address the patient’s HF self-management needs, but also be easy enough to use even for those who are less technology-savvy.

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Section: Methodsmentioning

confidence: 99%

Intention to Use mHealth in Older Adults With Heart Failure

et al. 2017

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“…Borson et al, (2005) documented that the Mini-Cog had an overall accuracy (true positives+true negatives/true positive+true negatives+false positives+false negatives) of 83% classifying participants as cognitively impaired or normal cognition in a sample of 371 community dwelling, ethnically diverse participants. Finally, the Mini-Cog has documented validity in HF samples 40,41 . Most recently, Patel et al (2014) reported that among patients hospitalized with HF, Mini-Cog scores were associated with poor 30-day outcomes 40 .…”

Section: Methodsmentioning

confidence: 99%

“…Finally, the Mini-Cog has documented validity in HF samples 40,41 . Most recently, Patel et al (2014) reported that among patients hospitalized with HF, Mini-Cog scores were associated with poor 30-day outcomes 40 . There are a variety of administration and scoring methods for the Mini-Cog assessment.…”

Section: Methodsmentioning

confidence: 99%

Evidence-Based Heart Failure Medications and Cognition

Bratzke

Moser

Pelter

et al. 2016

Journal of Cardiovascular Nursing

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Background The etiology of cognitive impairment in heart failure (HF) is controversial and likely multifactorial. Physicians may hesitate to prescribe evidence-based HF medication because of concerns related to potential negative changes in cognition among a population that is already frequently impaired. We conducted a study to determine if prescription of evidence-based HF medications (specifically, beta-blockers, angiotensin-converting enzyme inhibitors, angiotensin-receptor blocking agents, diuretics, and aldosterone inhibitors) was associated with cognition in a large HF sample. Methods Six-hundred and twelve patients completed baseline data collection for the Rural Education to improve OuTcomEs in Heart Failure clinical trial (REMOTE-HF), including information about medications. Global cognition was evaluated using the Mini-Cog. Results The sample mean age was 66-years old (SD 13 years), 58% were male, 89% Caucasian. Global cognitive impairment was identified in 206 (34%) of the 612 patients. Prescription of evidence-based HF medications was not related to global cognitive impairment in this sample. This relationship was maintained even after adjusting for potential confounders (e.g. age, education, and comorbid burden). Conclusion Prescription of evidence-based HF medications is not related to low scores of a measure of global cognitive function in rural patients with HF.

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“…The Mini‐Cog is a short, validated tool for the assessment of cognitive impairment consisting of 3‐word recall and a simple clock‐drawing task . When trained clinicians or research personnel administer it, it takes less than 3 minutes to complete, making it a potentially attractive tool for healthcare systems interested in population‐wide screening for cognitive impairment .…”

mentioning

confidence: 99%

“…Additional instructions and multiple word sets were later added for repeated use, and the tool was reformatted to increase reliability in randomized screening trials . We previously implemented routine cognitive impairment screening by a cardiology nursing team using the Mini‐Cog at the Cleveland Clinic . Although the nurses received some training on using the standardized format, an internal review of our data showed an approximately 18% error rate in Mini‐Cog scoring (unpublished data).…”

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confidence: 99%