Publication
Title
Frailty and cognitive function in middle-aged and older adults with congenital heart disease
Author
Institution/Organisation
APPROACH-IS II consortium
Abstract
Background Life expectancy of patients with congenital heart disease (CHD) has increased rapidly, resulting in a growing and aging population. Recent studies have shown that older people with CHD have higher morbidity, health care use, and mortality. To maintain longevity and quality of life, understanding their evolving medical and psychosocial challenges is essential. Objectives The authors describe the frailty and cognitive profile of middle-aged and older adults with CHD to identify predictor variables and to explore the relationship with hospital admissions and outpatient visits. Methods Using a cross-sectional, multicentric design, we included 814 patients aged ≥40 years from 11 countries. Frailty phenotype was determined using the Fried method. Cognitive function was assessed by the Montreal Cognitive Assessment. Results In this sample, 52.3% of patients were assessed as robust, 41.9% as prefrail, and 5.8% as frail; 38.8% had cognitive dysfunction. Multinomial regression showed that frailty was associated with older age, female sex, higher physiologic class, and comorbidities. Counterintuitively, patients with mild heart defects were more likely than those with complex lesions to be prefrail. Patients from middle-income countries displayed more prefrailty than those from higher-income countries. Logistic regression demonstrated that cognitive dysfunction was related to older age, comorbidities, and lower country-level income. Conclusions Approximately one-half of included patients were (pre-)frail, and more than one-third experienced cognitive impairment. Frailty and cognitive dysfunction were identified in patients with mild CHD, indicating that these concerns extend beyond severe CHD. Assessing frailty and cognition routinely could offer valuable insights into this aging population.
Language
English
Source (journal)
Journal of the American College of Cardiology. - New York, N.Y.
Publication
New York, N.Y. : 2024
ISSN
0735-1097
DOI
10.1016/J.JACC.2024.01.021
Volume/pages
83 :12 (2024) , p. 1149-1159
Full text (Publisher's DOI)
Full text (publisher's version - intranet only)
UAntwerpen
Research group
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Record
Identifier
Creation 22.03.2024
Last edited 26.03.2024
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