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Memory loss and decreased executive function are associated with limited functional capacity in patients with heart failure compared to patients with other medical conditions

Title
Memory loss and decreased executive function are associated with limited functional capacity in patients with heart failure compared to patients with other medical conditions
Author
황선영
Keywords
Cognitive function; Heart failure; Medical conditions; Functional capacity
Issue Date
2018-05
Publisher
MOSBY-ELSEVIER
Citation
HEART & LUNG, v. 47, no. 1, page. 61-67
Abstract
Background: There is limited evidence on the degree of cognitive impairment and its association with physical functional capacity among patients with heart failure (HF) in Korea.Objectives: In this study, we compared cognitive impairment between patients with HF and community dwelling participants with non-HF medical conditions (medical participants) and its association with physical functional capacity.Methods: We conducted a cross-sectional comparative study and assessed the neuropsychological cognitive status (Seoul Neuropsychological Screening Battery) and physical functional capacity (Duke Activity Status Index) of patients with HF and medical participants using face-to-face interviews.Results: One hundred and eighteen patients with HF (age, 65.45 +/- 9.38 years; men, 57.6%; left ventricular ejection fraction, 34.93 +/- 8.72%) and 83 medical participants (age, 66.02 +/- 8.28 years; men, 47.0%) were included. Using seventh-percentile medical participant Z-scores as cutoffs, memory and executive function were worse in patients with HF than in medical participants: immediate (35.0% vs. 6.0%) and delayed recall memory (34.5% vs. 8.4%), and executive function (28.6% vs. 6.0%). Independent of age, sex, education, comorbiclity, and HF status, executive function was a significant predictor of physical functional capacity (b = 1.82, p = .021).Conclusions: More patients with HF had impaired memory and executive function, which were associated with their physical functional capacities. (C) 2017 Elsevier Inc. All rights reserved.
URI
https://www.heartandlung.org/article/S0147-9563(17)30154-1/fulltexthttp://repository.hanyang.ac.kr/handle/20.500.11754/118530
ISSN
0147-9563; 1527-3288
DOI
10.1016/j.hrtlng.2017.09.005
Appears in Collections:
COLLEGE OF NURSING[S](간호학부) > NURSING(간호학부) > Articles
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