Cognitive impairment and 30-day rehospitalization rate in patients with acute heart failure : A systematic review and meta-analysis
Copyright © 2018 Cardiological Society of India. Published by Elsevier B.V. All rights reserved..
BACKGROUND: Heart failure (HF) is one of the world leading causes of hospitalization and rehospitalization. Cognitive impairment has been identified as a risk factor for rehospitalization in patients with heart failure. However, previous studies reported mixed results. Therefore, we conducted a systematic review and meta-analysis to assess the association between cognitive impairment and 30-day rehospitalization in patients with HF.
METHOD: We performed a comprehensive literature search through July 2018 in the databases of MEDLINE and EMBASE. Included studies were cohort studies, case-control studies, cross-sectional studies or randomized controlled trials that compared the risk of 30-day rehospitalization in HF patients with cognitive impairment and those without. We calculated pooled relative risk (RR) with 95% confidence intervals (CI) and I2 statistic using the random-effects model.
RESULTS: Five studies with a total of 2,342 participants (1,004 participants had cognitive impairment) were included for meta-analysis. In random-effect model, cognitive impairment significantly increased the risk of 30-day rehospitalization in HF participants (pooled RR=1.63, 95%CI: 1.19-2.24], I2=64.2%, p=0.002). Subgroup analysis was performed on the studies that excluded patients with dementia. The results also showed that cognitive impairment significantly increased the risk of 30-day rehospitalization in participants with HF (pooled RR=1.29, 95%CI: 1.05-1.59, I2=0.0%, p=0.016), which was consistent with our overall analysis.
CONCLUSION: Our meta-analysis demonstrated that the presence of cognitive impairment is associated with 30-day rehospitalization in patients with HF.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2019 |
|---|---|
| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:71 |
|---|---|
| Enthalten in: |
Indian heart journal - 71(2019), 1 vom: 07. Jan., Seite 52-59 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Kewcharoen, Jakrin [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Cognitive dysfunction |
|---|
| Anmerkungen: |
Date Completed 04.09.2019 Date Revised 25.02.2020 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.ihj.2018.12.006 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM296206520 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM296206520 | ||
| 003 | DE-627 | ||
| 005 | 20231225085333.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2019 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.ihj.2018.12.006 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0987.xml |
| 035 | |a (DE-627)NLM296206520 | ||
| 035 | |a (NLM)31000183 | ||
| 035 | |a (PII)S0019-4832(18)30654-0 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Kewcharoen, Jakrin |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Cognitive impairment and 30-day rehospitalization rate in patients with acute heart failure |b A systematic review and meta-analysis |
| 264 | 1 | |c 2019 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 04.09.2019 | ||
| 500 | |a Date Revised 25.02.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2018 Cardiological Society of India. Published by Elsevier B.V. All rights reserved. | ||
| 520 | |a BACKGROUND: Heart failure (HF) is one of the world leading causes of hospitalization and rehospitalization. Cognitive impairment has been identified as a risk factor for rehospitalization in patients with heart failure. However, previous studies reported mixed results. Therefore, we conducted a systematic review and meta-analysis to assess the association between cognitive impairment and 30-day rehospitalization in patients with HF | ||
| 520 | |a METHOD: We performed a comprehensive literature search through July 2018 in the databases of MEDLINE and EMBASE. Included studies were cohort studies, case-control studies, cross-sectional studies or randomized controlled trials that compared the risk of 30-day rehospitalization in HF patients with cognitive impairment and those without. We calculated pooled relative risk (RR) with 95% confidence intervals (CI) and I2 statistic using the random-effects model | ||
| 520 | |a RESULTS: Five studies with a total of 2,342 participants (1,004 participants had cognitive impairment) were included for meta-analysis. In random-effect model, cognitive impairment significantly increased the risk of 30-day rehospitalization in HF participants (pooled RR=1.63, 95%CI: 1.19-2.24], I2=64.2%, p=0.002). Subgroup analysis was performed on the studies that excluded patients with dementia. The results also showed that cognitive impairment significantly increased the risk of 30-day rehospitalization in participants with HF (pooled RR=1.29, 95%CI: 1.05-1.59, I2=0.0%, p=0.016), which was consistent with our overall analysis | ||
| 520 | |a CONCLUSION: Our meta-analysis demonstrated that the presence of cognitive impairment is associated with 30-day rehospitalization in patients with HF | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Meta-Analysis | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a cognitive dysfunction | |
| 650 | 4 | |a cognitive impairment | |
| 650 | 4 | |a heart failure | |
| 650 | 4 | |a rehospitalization | |
| 700 | 1 | |a Trongtorsak, Angkawipa |e verfasserin |4 aut | |
| 700 | 1 | |a Kanitsoraphan, Chanavuth |e verfasserin |4 aut | |
| 700 | 1 | |a Prasitlumkum, Narut |e verfasserin |4 aut | |
| 700 | 1 | |a Mekritthikrai, Raktham |e verfasserin |4 aut | |
| 700 | 1 | |a Techorueangwiwat, Chol |e verfasserin |4 aut | |
| 700 | 1 | |a Limpruttidham, Nath |e verfasserin |4 aut | |
| 700 | 1 | |a Rattanawong, Pattara |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Indian heart journal |d 1961 |g 71(2019), 1 vom: 07. Jan., Seite 52-59 |w (DE-627)NLM000004162 |x 2213-3763 |7 nnns |
| 773 | 1 | 8 | |g volume:71 |g year:2019 |g number:1 |g day:07 |g month:01 |g pages:52-59 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.ihj.2018.12.006 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 71 |j 2019 |e 1 |b 07 |c 01 |h 52-59 | ||