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Cognitive function in post-cardiac intensive care: patient characteristics and impact of multidisciplinary cardiac rehabilitation

Authors :
Seigo Sugiyama
Tadaoki Saito
Seiko Ida
Yuji Tohya
Yuichi Yasunaga
Aya Tanaka
Kenichi Tsujita
Hitoshi Sumida
Koichi Nakao
Kunihiko Matsui
Kensei Takasawa
Source :
Heart and Vessels. 35:946-956
Publication Year :
2020
Publisher :
Springer Science and Business Media LLC, 2020.

Abstract

New/worsening cognitive and physical impairments following critical care pose significant problems. Multidisciplinary cardiac rehabilitation (CR) can improve physical function after cardiac intensive care (CIC). This observational study aimed to evaluate cognitive function in patients participating in multidisciplinary CR and to identify correlates of impaired cognitive function after CIC. We analyzed 111 consecutive patients admitted to our comprehensive care ward at least 7 days after CIC and assessed factors associated with cognitive function using the Functional Independence Measure (FIM). Patients were stratified into two groups based on the median FIM-Cognitive scores: impaired (n = 56) and preserved cognition (n = 55) groups. Multiple logistic regression analysis identified age [odds ratio (OR) 1.06; 95% confidence interval (CI) 1.00–1.13; p = 0.042], Mini-Nutrition Assessment-Short Form (MNA-SF; OR 0.73; 95% CI 0.56–0.95; p = 0.017), and FIM-Physical scores (OR: 0.94; 95% CI 0.90–0.99; p = 0.012) as significant and independent factors associated with impaired cognition. The median length of hospital stay was 28 (interquartile range: 18, 43) days. The FIM-Cognitive and FIM-Physical scores significantly increased from admission to discharge [32.0 (27.0, 35.0) vs. 34.0 (29.0, 35.0) points; p

Details

ISSN :
16152573 and 09108327
Volume :
35
Database :
OpenAIRE
Journal :
Heart and Vessels
Accession number :
edsair.doi.dedup.....1bf467a8a01a900b78c48c38717c7e83
Full Text :
https://doi.org/10.1007/s00380-020-01566-4