评估老年心力衰竭患者的认知功能。
Assessment of cognitive function in elderly patients with heart failure.
机构信息
Universidade Federal do Maranhão, Doctoral Program in Health Sciences - São Luís (MA), Brazil.
Universidade Federal do Maranhão, Master's Program in Adult Health - São Luís (MA), Brazil.
出版信息
Rev Assoc Med Bras (1992). 2024 Aug 16;70(8):e20240429. doi: 10.1590/1806-9282.20240429. eCollection 2024.
OBJECTIVE
To compare the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) tests for the identification of cognitive deficit (CD) in elderly patients with heart failure (HF).
METHODS
This was a cross-sectional study with an observational design involving 43 elderly patients with HF of both sexes, treated by the Unified Health System, who were able to understand and follow the study instructions. A sociodemographic and clinical questionnaire and the MMSE and MoCA neurocognitive tests were applied.
RESULTS
The mean age of the patients was 67 years; 67.44% were male; 53.49% were white; 58.14% had 1-4 years of schooling; 58.14% had an income of half to one minimum wage; 55.81% were married; 53.49% had a family history of HF; 90.7% denied smoking; 83.72% denied alcohol intake; 65.12% did not practice physical activity; 83.72% were hypertensive; 30.23% were diabetic; 57.89% had LVEF ≥ 50%; 39.53% have NYHA II; and 88.37% did not have a pacemaker. In the identification of CD, the MMSE test detected it in 25.58% of the patients, while the MoCA test identified it in 23.26% (p=0.043).
CONCLUSION
It was concluded that the MMSE test performed better than the MoCA test in the identification of CD in elderly patients with HF.
目的
比较简易精神状态检查（MMSE）和蒙特利尔认知评估（MoCA）测试在识别老年心力衰竭（HF）患者认知缺陷（CD）方面的作用。
方法
这是一项横断面研究，采用观察性设计，共纳入 43 名符合条件的老年 HF 患者，所有患者均为接受统一卫生系统治疗、能够理解和遵循研究指令的患者。使用社会人口学和临床问卷以及 MMSE 和 MoCA 神经认知测试进行评估。
结果
患者的平均年龄为 67 岁；67.44%为男性；53.49%为白人；58.14%接受过 1-4 年的学校教育；58.14%的人收入为半份至一份最低工资；55.81%已婚；53.49%有 HF 家族史；90.7%否认吸烟；83.72%否认饮酒；65.12%不进行体育活动；83.72%患有高血压；30.23%患有糖尿病；57.89%的左心室射血分数（LVEF）≥50%；39.53%的患者为纽约心脏病协会（NYHA）心功能分级 II 级；88.37%的患者未安装起搏器。在识别 CD 方面，MMSE 测试发现 25.58%的患者存在 CD，而 MoCA 测试发现 23.26%的患者存在 CD（p=0.043）。
结论
与 MoCA 测试相比，MMSE 测试在识别老年 HF 患者的 CD 方面表现更好。
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