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Comorbid vision and cognitive impairments in older adults hospitalized for acute myocardial infarction.

Publication ,  Journal Article
Whitson, HE; Hajduk, AM; Song, X; Geda, M; Tsang, S; Brush, J; Chaudhry, SI
Published in: J Comorb
2020

Older patients presenting with acute myocardial infarction (AMI) often have comorbidities. Our objective was to examine how outcomes differ by cognitive and vision status in older AMI patients. We use data from a prospective cohort study conducted at 94 hospitals in the United States between January 2013 and October 2016 that enrolled men and women aged ≥75 years with AMI. Cognitive impairment (CI) was defined as telephone interview for cognitive status (TICS) score <27; vision impairment (VI) and activities of daily living (ADLs) were assessed by questionnaire. Of 2988 senior AMI patients, 260 (8.7%) had CI but no VI, 858 (28.7%) had VI but no CI, and 251 (8.4%) had both CI/VI. Patients in the VI/CI group were most likely to exhibit geriatric syndromes. More severe VI was associated with lower (worse) scores on the TICS (β -1.53, 95% confidence interval (CI) -1.87 to -1.18). In adjusted models, compared to participants with neither impairment, participants with VI/CI were more likely to die (hazard ratio 1.61, 95% CI 1.10-2.37) and experience ADL decline (odds ratio 2.11, 95% CI 1.39-3.21) at 180 days. Comorbid CIs and VIs were associated with high rates of death and worsening disability after discharge among seniors hospitalized for AMI. Future research should evaluate protocols to accommodate these impairments during AMI presentations and optimize decision-making and outcomes.

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Published In

J Comorb

DOI

EISSN

2235-042X

Publication Date

2020

Volume

10

Start / End Page

2235042X20940493

Location

England

Related Subject Headings

  • 5203 Clinical and health psychology
  • 4206 Public health
  • 4203 Health services and systems
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences
 

Citation

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Whitson, H. E., Hajduk, A. M., Song, X., Geda, M., Tsang, S., Brush, J., & Chaudhry, S. I. (2020). Comorbid vision and cognitive impairments in older adults hospitalized for acute myocardial infarction. J Comorb, 10, 2235042X20940493. https://doi.org/10.1177/2235042X20940493
Whitson, Heather E., Alexandra M. Hajduk, Xuemei Song, Mary Geda, Sui Tsang, John Brush, and Sarwat I. Chaudhry. “Comorbid vision and cognitive impairments in older adults hospitalized for acute myocardial infarction.J Comorb 10 (2020): 2235042X20940493. https://doi.org/10.1177/2235042X20940493.
Whitson HE, Hajduk AM, Song X, Geda M, Tsang S, Brush J, et al. Comorbid vision and cognitive impairments in older adults hospitalized for acute myocardial infarction. J Comorb. 2020;10:2235042X20940493.
Whitson, Heather E., et al. “Comorbid vision and cognitive impairments in older adults hospitalized for acute myocardial infarction.J Comorb, vol. 10, 2020, p. 2235042X20940493. Pubmed, doi:10.1177/2235042X20940493.
Whitson HE, Hajduk AM, Song X, Geda M, Tsang S, Brush J, Chaudhry SI. Comorbid vision and cognitive impairments in older adults hospitalized for acute myocardial infarction. J Comorb. 2020;10:2235042X20940493.

Published In

J Comorb

DOI

EISSN

2235-042X

Publication Date

2020

Volume

10

Start / End Page

2235042X20940493

Location

England

Related Subject Headings

  • 5203 Clinical and health psychology
  • 4206 Public health
  • 4203 Health services and systems
  • 1117 Public Health and Health Services
  • 1103 Clinical Sciences