Prevalence of mild cognitive impairment in employable patients after acute coronary event in cardiac rehabilitation
| Autor: | Salzwedel,Annett, Heidler,Maria, Haubold,Kathrin, Schikora,Martin, Reibis,Rona, Wegscheider,Karl, Jobges,Michael, Völler,Heinz |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Employment
Male Health Knowledge Attitudes Practice acute coronary event Time Factors prevalence Coronary Artery Disease Workload patient education Cognition Patient Education as Topic Risk Factors Germany Absenteeism Odds Ratio Department Sport- und Gesundheitswissenschaften Humans Cognitive Dysfunction ddc:610 Prospective Studies Humanwissenschaftliche Fakultät Original Research cognitive impairment Cardiac Rehabilitation Chi-Square Distribution Age Factors Middle Aged Vascular Health and Risk Management Logistic Models Treatment Outcome Multivariate Analysis Educational Status Female Sick Leave |
| Zdroj: | Vascular Health and Risk Management |
| ISSN: | 1178-2048 1176-6344 |
| Popis: | Annett Salzwedel,1 Maria-Dorothea Heidler,1,2 Kathrin Haubold,1 Martin Schikora,2 Rona Reibis,3 Karl Wegscheider,4 Michael Jöbges,2 Heinz Völler1,5 1Center for Rehabilitation Research, University of Potsdam, Potsdam, 2Brandenburg Klinik, Bernau, 3Cardiological Outpatient Clinic, Am Park Sanssouci, Potsdam, 4Institute for Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, 5Klinik am See, Rüdersdorf, Germany Introduction: Adequate cognitive function in patients is a prerequisite for successful implementation of patient education and lifestyle coping in comprehensive cardiac rehabilitation (CR) programs. Although the association between cardiovascular diseases and cognitive impairments (CIs) is well known, the prevalence particularly of mild CI in CR and the characteristics of affected patients have been insufficiently investigated so far. Methods: In this prospective observational study, 496 patients (54.5 ± 6.2 years, 79.8% men) with coronary artery disease following an acute coronary event (ACE) were analyzed. Patients were enrolled within 14 days of discharge from the hospital in a 3-week inpatient CR program. Patients were tested for CI using the Montreal Cognitive Assessment (MoCA) upon admission to and discharge from CR. Additionally, sociodemographic, clinical, and physiological variables were documented. The data were analyzed descriptively and in a multivariate stepwise backward elimination regression model with respect to CI. Results: At admission to CR, the CI (MoCA score < 26) was determined in 182 patients (36.7%). Significant differences between CI and no CI groups were identified, and CI group was associated with high prevalence of smoking (65.9 vs 56.7%, P=0.046), heavy (physically demanding) workloads (26.4 vs 17.8%, P |
| Databáze: | OpenAIRE |
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