作者: Monika M Safford , Virginia Wadley , Samprit Banerjee , Jennifer J Manly , Deborah A Levine
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摘要: Background: Cognitive impairment is as high 70% among adults with heart failure (HF) and its prevalence increases the duration severity of HF. However, little known about cognitive early in course This important, at diagnosis would suggest that earlier screening be warranted. We examined correlates incident Methods: used data from Reasons for Geographic Racial Differences Stroke (REGARDS) Study, an observational, longitudinal cohort study 30,239 community-dwelling >45 recruited 2003 to 2007. Blacks residents stroke belt were oversampled. Global status was assessed annually by telephone Six-item Screener (SIS) HF validated physicians using medical records standard clinical criteria. Participants who hospitalized 2004 until 2016 a SIS completed > 1 month but 20%). Results: Of 436 participants HF, 14.9% had impairment. In age-adjusted model, older age (OR 1.04 [95% CI 1.01 - 1.08], black race 1.88 1.08-3.28]), Conclusion: The greater than matched low CHD risk, less highest risk. suggests majority decline may occur later disease. Increased awareness newly diagnosed patients, well ways mitigate context management, are