European journal of cardiovascular nursing | Volume 11 of Issue 2
Authors: Bauer L, Pozehl B, Hertzog M, Johnson J, Zimmerman L, Filipi M
BACKGROUND
Cognitive impairment is a recognized consequence of heart failure; however, there are no neuropsychological batteries with documented psychometric data in the chronic heart failure population.
AIMS
To document the psychometric properties of a brief neuropsychological battery in a chronic heart failure sample.
METHODS
The Repeatable Battery for the Assessment of Neuropsychological Status, Trail Making Test Part A and Part B, and letter fluency was administered to a sample of individuals with chronic heart failure.
RESULTS
Eighty individuals with stable heart failure participated in this study. Individuals with chronic heart failure scored significantly lower than expected age and education adjusted norms in the domains of attention (p < 0.001), memory (p < 0.001), language (p < 0.001), executive function (p < 0.001), and psychomotor speed (p = 0.02). Scores on the tests of memory and executive function correlated to functional status (r = 0.28, p = 0.02 and r = 0.29, p = 0.03, respectively). Acceptable convergent validity and test-retest reliability were documented for this battery.
CONCLUSION
The neuropsychological battery had adequate reliability and validity in individuals with chronic heart failure.
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