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Neuropsychological Assessment and Screening in Heart Failure: a Meta-Analysis and Systematic Review.
Connors, Eric J; Hauson, Alexander O; Barlet, Brianna D; Sarkissians, Sharis; Stelmach, Nicholas P; Walker, Alyssa D; Nemanim, Natasha M; Greenwood, Kristina L; Chesher, Nicholas J; Wollman, Scott C; Allen, Kenneth E; Hall, Matthew G; Flora-Tostado, Christopher.
Afiliación
  • Connors EJ; California School of Professional Psychology, Clinical Psychology PhD Program, San Diego, CA, USA.
  • Hauson AO; Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School and Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Charlestown, MA, USA.
  • Barlet BD; Institute of Brain Research and Integrated Neuropsychological Services (iBRAINs.org), San Diego, CA, USA.
  • Sarkissians S; California School of Professional Psychology, Clinical Psychology PhD Program, San Diego, CA, USA. alexanderhauson@gmail.com.
  • Stelmach NP; Institute of Brain Research and Integrated Neuropsychological Services (iBRAINs.org), San Diego, CA, USA. alexanderhauson@gmail.com.
  • Walker AD; Department of Psychiatry, University of California San Diego, La Jolla, CA, USA. alexanderhauson@gmail.com.
  • Nemanim NM; California School of Professional Psychology, Clinical Psychology PhD Program, San Diego, CA, USA.
  • Greenwood KL; Institute of Brain Research and Integrated Neuropsychological Services (iBRAINs.org), San Diego, CA, USA.
  • Chesher NJ; California School of Professional Psychology, Clinical Psychology PhD Program, San Diego, CA, USA.
  • Wollman SC; Institute of Brain Research and Integrated Neuropsychological Services (iBRAINs.org), San Diego, CA, USA.
  • Allen KE; California School of Professional Psychology, Clinical Psychology PhD Program, San Diego, CA, USA.
  • Hall MG; Institute of Brain Research and Integrated Neuropsychological Services (iBRAINs.org), San Diego, CA, USA.
  • Flora-Tostado C; California School of Professional Psychology, Clinical Psychology PhD Program, San Diego, CA, USA.
Neuropsychol Rev ; 31(2): 312-330, 2021 06.
Article en En | MEDLINE | ID: mdl-33428163
A variety of neuropsychological changes secondary to heart failure have been documented in the literature. However, what remains unclear are which neuropsychological abilities are the most impacted by heart failure and what tests have the sensitivity to measure that impact. Eight databases were searched for articles that examined the neuropsychological functioning of patients with heart failure. Some of the inclusion criteria were articles had to have a heart failure group with a demographically comparable control group and standardized neuropsychological testing. Exclusion criteria included articles with a heart failure group with any other type of major organ failure, or comparisons that were between different classes of heart failure rather than between a heart failure and non-heart failure group. A total of 33 articles met the inclusion criteria (total heart failure sample n = 8900) and provided effect size data for 20 neuropsychological domains. All observed domain-level differences between heart failure and non-heart failure groups were statistically significant, except for simple motor functioning and confrontation naming. The greatest differences in performance were in executive functioning, global cognition, complex psychomotor speed, and verbal memory. The highest effect sizes came from Trail-Making Test-Part B, CAMCOG, Symbol Digit Modality Test, and California Verbal Learning Test. The neuropsychological patterns of heart failure suggested diffuse cognitive involvement, with higher-level processes being most affected. It is important to track neurocognition in this clinical population since neuropsychological impairment is prevalent, and screening measures appear to be reliable. Such screening and further assessment would inform future medical treatment and may improve patient care management.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos del Conocimiento / Insuficiencia Cardíaca Tipo de estudio: Diagnostic_studies / Screening_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Neuropsychol Rev Asunto de la revista: NEUROLOGIA / PSICOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos del Conocimiento / Insuficiencia Cardíaca Tipo de estudio: Diagnostic_studies / Screening_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Neuropsychol Rev Asunto de la revista: NEUROLOGIA / PSICOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos