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Discordance between subjective and objective evaluations of cognitive function in old Japanese patients with heart failure
Author(s) -
Saito Hiroshi,
Matsue Yuya,
Suzuki Makoto,
Kamiya Kentaro,
Hasegawa Yuki,
Endo Yoshiko,
Negishi Yuri,
Hirano Miki,
Takanashi Kumi,
Iizuka Hiromi,
Matsumura Akihiko,
Hashimoto Yuji
Publication year - 2019
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12591
Subject(s) - cognition , cognitive impairment , medicine , confidence interval , heart failure , audiology , clinical psychology , physical therapy , psychiatry
Objectives Although cognitive impairment is common among patients with chronic heart failure ( HF ), the accuracy with which caregivers can recognize it is unknown. This study aimed to examine the degree to which subjective and objective evaluations coincide. Methods Cognitive function was evaluated subjectively and objectively in 184 hospitalized patients aged 65 or older (82 ± 7.2 years old and 49% male) with HF , who were divided into three groups: (i) normal; (ii) mild cognitive impairment; and (iii) severe cognitive impairment. Results The intrapatient agreement of the results of subjective and objective evaluations was tested, and weighted κ coefficients showed poor agreement (0.54, 95% confidence interval: 0.42–0.66, P < 0.001). Conclusion Subjective and objective cognitive function evaluations in older patients with HF are poorly concordant.