Computerized Cognitive Training and 24-Month Mortality in Heart Failure.
Autor: | Miyeon Jung, Smith, Asa B., Giordani, Bruno, Clark, David G., Gradus-Pizlo, Irmina, Wierenga, Kelly L., Lake, Kittie Reid, Pressler, Susan J. |
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Předmět: |
MORTALITY prevention
STATISTICS COMPUTER assisted instruction PSYCHOLOGY of cardiac patients AGE distribution COGNITION MANN Whitney U Test SEVERITY of illness index TREATMENT effectiveness RANDOMIZED controlled trials COMPARATIVE studies SHORT-term memory QUALITY of life MENTAL depression DESCRIPTIVE statistics LOGISTIC regression analysis ODDS ratio DATA analysis software DATA analysis STATISTICAL sampling COGNITIVE therapy HEART failure LONGITUDINAL method |
Zdroj: | Journal of Cardiovascular Nursing; Mar/Apr2024, Vol. 39 Issue 2, pE51-E58, 8p |
Abstrakt: | Background: Cognitive dysfunction predicts mortality in heart failure (HF). Computerized cognitive training (CCT) has shown preliminary efficacy in improving cognitive function. However, the relationship between CCT and mortality is unclear. Aims were to evaluate (1) long-term efficacy of CCT in reducing 24-month mortality and (2) age, HF severity, global cognition, memory, working memory, depressive symptoms, and health-related quality of life as predictors of 24-monthmortality among patientswith HF.Methods: In this prospective longitudinal study, 142 patients enrolled in a 3-arm randomized controlled trial were followed for 24 months. Logistic regression was used to achieve the aims. Results: Across 24months, 16 patients died (CCT, 8.3%; control groups, 12.8%). Computerized cognitive training did not predict 24-monthmortality (odds ratio [OR], 0.65). Older age (OR, 1.08), worse global cognition (OR, 0.73), memory (OR, 0.81), and depressive symptoms (OR, 1.10) at baseline predicted 24-month mortality. Conclusions: Efficacious interventions are needed to improve global cognition, memory, and depressive symptoms and reduce mortality in HF. [ABSTRACT FROM AUTHOR] |
Databáze: | Supplemental Index |
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