Evaluation of cognitive function in elderly patients hospitalized for heart failure with and without diabetes mellitus
DOI:
https://doi.org/10.53660/PRW-2433-4441Palavras-chave:
insuficiencia cardiaca, idoso, cognição, diabetesResumo
Pacientes idosos com diabetes melitus (DM) hospitalizados por insuficiência cardíaca (IC) apresentam frequentemente sinais de comprometimento cognitivo (CC). Objetivo: Avaliar a função cognitiva de idosos portadores de IC com e sem DM. Métodos: Pacientes hospitalizados (≥ 65 anos) por IC foram avaliados através de testes cognitivos: Montreal Cognitive Assessment (MoCA) e Mini-Cog. Resultados:196 pacientes, com média de idade de 73,04 ± 6,04. Segundo o Mini-cog, 77% tinham CC. O escore médio do MoCA foi de 14,60 ± 5,79. De acordo com presença ou ausência de DM, foi observado associação significativa com o sexo, feminino 54,7% vs masculino 45,3% (p=0,04) e cintura abdominal, aumentada 81,3% vs normal 18,8% (p=0,02). No cenário de cognição normal pelo Mini-cog, pacientes com pré-diabetes tinham maior probabilidade de ter fração de ejeção do ventrículo esquerdo (FEVE) normal (60,75 ± 11,15) em comparação com pacientes com diabetes (47,00 ± 14,42) e pacientes euglicêmicos (44,50 ± 19,92), p = 0,035. Conclusão: Foi encontrado elevada frequência de CC em pacientes idosos hospitalizados por IC. Pacientes com pré-diabetes sem CC tiveram maior probabilidade de apresentar FEVE preservada.
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