Back to Search
Start Over
Cognitive function in post-cardiac intensive care: patient characteristics and impact of multidisciplinary cardiac rehabilitation
- 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
- Subjects :
- Male
medicine.medical_specialty
Heart Diseases
medicine.medical_treatment
Nutritional Status
Subgroup analysis
030204 cardiovascular system & hematology
Risk Assessment
03 medical and health sciences
Cognition
0302 clinical medicine
Risk Factors
Interquartile range
Intensive care
Internal medicine
Humans
Medicine
Cognitive Dysfunction
030212 general & internal medicine
Aged
Aged, 80 and over
Cardiac Rehabilitation
Rehabilitation
business.industry
Recovery of Function
Odds ratio
Length of Stay
Combined Modality Therapy
Functional Independence Measure
Post-intensive care syndrome
Confidence interval
Exercise Therapy
Functional Status
Mental Health
Treatment Outcome
Female
Diet, Healthy
Cardiology and Cardiovascular Medicine
business
Subjects
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