Objective To investigate the cognitive frailty(CF)status among elderly patients with chronic heart failure(CHF)and explore the factors influencing CF,so as to provide evidence for early identification and intervention of CF in elderly CHF patients.Methods A total of 124 elderly patients with CHF admitted to the department of geriatrics were included in this study.The clinical data of patients were collected.Freid Scale was used to assess patients'frailty status,and the mini-mental state examination(MMSE)Scale was used to assess their cognitive status.The general demographic characteristics,chronic disease history and laboratory data of the patients were compared between those with cognitive frailty(CF)and those without CF.Multivariate Logistic regression was used to identify independent factors associated with CF in elderly patients with CHF.Results The prevalence of cognitive frailty(CF)in elderly patients with CHF was 29.03%.Compared to the non-CF group,patients in the CF group were older,had a lower BMI,lower educational level,higher incidence of stroke,and were more likely to be taking multiple medications.They also had lower levels of hemoglobin and left ventricular ejection fraction(all P<0.05).Multivariate Logistic regression analysis showed that BMI(OR=0.790,95%CI:0.662～0.943),history of cerebral infarction(OR=3.391,95%CI:1.058～10.867)and age(OR=1.145,95%CI:1.034～1.268)were independent factors associated with CF in elderly CHF patients(all P<0.05).Conclusions Elderly patients with chronic heart failure have a high incidence of cognitive frailness.Clinical attention should be paid to patients who are older,have a lower BMI,and have a history of cerebral infarction.Early identification of risk factors for CF and proactive interventions should be implemented to prevent or mitigate the development of CF in this population.
国家科技期刊平台
NSTL
万方数据
