Cognitive Outcomes After Transcatheter Aortic Valve Implantation: A Metaanalysis.

Abstract:

OBJECTIVES:To quantitatively summarize changes in cognitive performance in individuals with severe aortic stenosis undergoing transcatheter aortic valve implantation (TAVI). DESIGN:Metaanalysis. PARTICIPANTS:Individuals undergoing TAVI (N = 1,065 (48.5% male) from 18 studies, average age ≥80). MEASUREMENTS:The MEDLINE, EMBASE, and Cochrane Central databases were searched for original peer-reviewed reports assessing cognitive performance using standardized cognitive tests before and after TAVI. Data were extracted for cognitive scores before TAVI; perioperatively (within 7 days after TAVI); 1, 3, and 6 months after TAVI, and 12 to 34 months after TAVI (over the long term). Standardized mean differences (SMDs) were generated using random-effects models for changes in cognition at each time point. Metaregression analyses were conducted to assess the association between population and procedural characteristics and cognitive outcomes. Risk of bias was assessed. RESULTS:There were no significant changes from baseline in perioperative cognitive performance (SMD = 0.05, 95% confidence interval (CI) = -0.08-0.18; z = 0.75, P = .46), although overall cognitive performance had improved significantly 1 month after TAVI (SMD = -0.33, 95% CI = -0.50 to -0.16; z = 3.83, P < .001). There were no differences in cognitive performance 3 and 6 months after TAVI or over the long term. Cognitive outcomes were not associated with any covariates in regression analyses. CONCLUSION:Cognitive performance is preserved after TAVI, suggesting TAVI is not detrimental to cognition.

journal_name

J Am Geriatr Soc

authors

Khan MM,Herrmann N,Gallagher D,Gandell D,Fremes SE,Wijeysundera HC,Radhakrishnan S,Sun YR,Lanctôt KL

doi

10.1111/jgs.15123

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

254-262

issue

2

eissn

0002-8614

issn

1532-5415

journal_volume

66

pub_type

杂志文章,meta分析,评审
  • Effects of Survey Mode on Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey Scores.

    abstract:OBJECTIVES:To examine the effect of mode of survey administration on response rates and response tendencies for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey and develop appropriate adjustments. DESIGN:Survey response data were obtained after sampling and fielding of the CAHPS Hosp...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15265

    authors: Parast L,Elliott MN,Hambarsoomian K,Teno J,Anhang Price R

    更新日期:2018-03-01 00:00:00

  • Environmental Factors Associated with Chinese Older Immigrants' Social Engagement.

    abstract:BACKGROUND/ OBJECTIVES:Prior research has shown that social engagement is beneficial to older adults' health and well-being. This study examined the association between environmental factors and social engagement of older Chinese immigrants in the United States. SAMPLE:A cross-sectional data set of Chinese immigrants ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15899

    authors: Lai DWL,Li J,Lee VWP,Dong X

    更新日期:2019-08-01 00:00:00

  • Development of a physical performance and mobility examination.

    abstract:OBJECTIVE:To develop and validate the Physical Performance and Mobility Examination (PPME), an observer-administered, performance-based instrument assessing 6 domains of physical functioning and mobility for hospitalized elderly. DESIGN:Development of a pass-fail and 3-level scoring system and training manuals for the...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1994.tb06535.x

    authors: Winograd CH,Lemsky CM,Nevitt MC,Nordstrom TM,Stewart AL,Miller CJ,Bloch DA

    更新日期:1994-07-01 00:00:00

  • The epidemiology of skin tears in the institutionalized elderly.

    abstract::While skin tears are a common occurrence in the institutionalized elderly population, nothing has been written about this problem. We retrospectively studied all incident reports during a 1-year period at a large, urban, long-term-care facility to identify residents with skin tears. The overall incidence of skin tears...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1991.tb03599.x

    authors: Malone ML,Rozario N,Gavinski M,Goodwin J

    更新日期:1991-06-01 00:00:00

  • Counteracting effect of supine leg resistance exercise on systolic orthostatic hypotension in older adults.

    abstract:OBJECTIVES:To assess the efficacy of a leg exercise performed in supine position to prevent orthostatic hypotension (OH) in older adults. DESIGN:Case-control study. SETTING:Division of Physical Medicine and Rehabilitation, Salvatore Maugeri Foundation, Scientific Institute of Veruno, Veruno, Italy. PARTICIPANTS:Indi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12313

    authors: Galizia G,Abete P,Testa G,Vecchio A,Corrà T,Nardone A

    更新日期:2013-07-01 00:00:00

  • Prospective Validation of a Screening Tool to Identify Older Adults in Need of a Driving Evaluation.

    abstract:OBJECTIVES:To prospectively validate and refine the 5-item "CRASH" screening tool for identifying older drivers needing a behind-the-wheel (BTW) test. DESIGN:Prospective observational study. SETTING:Geriatric and internal medicine primary care clinics affiliated with a tertiary care hospital and a local BTW program. ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15222

    authors: Betz ME,Haukoos JS,Schwartz R,DiGuiseppi C,Kandasamy D,Beaty B,Juarez-Colunga E,Carr DB

    更新日期:2018-02-01 00:00:00

  • Improving quality of care for urban older people with diabetes mellitus and cardiovascular disease.

    abstract::The management of older patients with chronic medical conditions dominates medical practice. Cardiovascular disease (CVD) and diabetes mellitus type 2 (DM) in patients aged 65 and older have reached epidemic proportions. Using elements of the Chronic Care Model (CCM), a quality improvement project was undertaken to re...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2007.01320.x

    authors: Caruso LB,Clough-Gorr KM,Silliman RA

    更新日期:2007-10-01 00:00:00

  • Potential underuse, overuse, and inappropriate use of antidepressants in older veteran nursing home residents.

    abstract:OBJECTIVES:To examine prevalence and resident- and site-level factors associated with potential underuse, overuse, and inappropriate use of antidepressants in older Veterans Affairs (VA) Community Living Center (CLC) residents. DESIGN:Longitudinal study. SETTING:One hundred thirty-three VA CLCs. PARTICIPANTS:Three t...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2011.03522.x

    authors: Hanlon JT,Wang X,Castle NG,Stone RA,Handler SM,Semla TP,Pugh MJ,Berlowitz DR,Dysken MW

    更新日期:2011-08-01 00:00:00

  • Healthy young and old women differ in their trunk elevation and hip pivot motions when rising from supine to sitting.

    abstract:OBJECTIVE:To describe the differences between healthy young and older women in regards to trunk elevation and hip pivot motions when rising from a supine to a seated position. DESIGN:Cross-sectional comparison. SETTING:University laboratory. PARTICIPANTS:Two groups of healthy female volunteers: young adult female co...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1995.tb05804.x

    authors: Alexander NB,Fry-Welch DK,Marshall LM,Chung CC,Kowalski AM

    更新日期:1995-04-01 00:00:00

  • Correlation of pressure sores and nutritional status.

    abstract::As life expectancy increases, so do the problems of the elderly population. One major problem is that of protein calorie malnutrition; another is the susceptibility of this population to pressure sores. The purpose of this study was to determine if a correlation exists between deteriorating nutritional status and the ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1986.tb03411.x

    authors: Pinchcofsky-Devin GD,Kaminski MV Jr

    更新日期:1986-06-01 00:00:00

  • Confusion Strongly Associated with Antibiotic Prescribing Due to Suspected Urinary Tract Infections in Nursing Homes.

    abstract:OBJECTIVES:To quantify the prevalence of documented urinary tract infection (UTI), nonspecific symptoms, and antibiotic treatment of suspected UTI in nursing homes (NHs) in the tropics and to describe the typical resident likely to receive antibiotic treatment for suspected UTI and factors associated with the developme...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15179

    authors: Mayne S,Sundvall PD,Gunnarsson R

    更新日期:2018-02-01 00:00:00

  • Medical practice with nursing home residents: results from the National Physician Professional Activities Census.

    abstract:OBJECTIVE:The study describes the prevalence of medical nursing home practice. Further, it examines the extent to which physician characteristics and local county health care resources predict nursing home involvement. This information is relevant to evaluating and devising strategies that address the future provision ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1997.tb02958.x

    authors: Katz PR,Karuza J,Kolassa J,Hutson A

    更新日期:1997-08-01 00:00:00

  • Semantic and Phonemic Verbal Fluency Discrepancy in Mild Cognitive Impairment: Potential Predictor of Progression to Alzheimer's Disease.

    abstract:OBJECTIVES:To assess the utility of verbal fluency discrepancy scores in predicting progression to Alzheimer's disease (AD) in a cohort of individuals with mild cognitive impairment (MCI). DESIGN:Case control. SETTING:Cases identified from new referrals to a memory clinic and controls identified from The Irish Longit...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15294

    authors: Vaughan RM,Coen RF,Kenny R,Lawlor BA

    更新日期:2018-04-01 00:00:00

  • Urban-rural differences in a memory disorders clinical population.

    abstract:OBJECTIVES:To compare patient characteristics and family perceptions of patient function at one urban and one rural memory disorders clinic. DESIGN:Secondary, cross-sectional data analyses of an extant clinical database. SETTING/PARTICIPANTS:First time visits (n = 956) at two memory disorders clinics. MEASUREMENTS:P...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2001.49127.x

    authors: Wackerbarth SB,Johnson MM,Markesbery WR,Smith CD

    更新日期:2001-05-01 00:00:00

  • Associations between serum 25-hydroxyvitamin D concentrations and multiple health conditions, physical performance measures, disability, and all-cause mortality: the Concord Health and Ageing in Men Project.

    abstract:OBJECTIVES:To explore associations between serum 25-hydroxyvitamin D (25(OH)D) levels and a wide range of health conditions, physical performance measures, disability, and mortality in a large epidemiological study to identify an optimum range for 25(OH)D concentrations. DESIGN:Cross-sectional study, with additional p...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12693

    authors: Hirani V,Cumming RG,Naganathan V,Blyth F,Le Couteur DG,Handelsman DJ,Waite LM,Seibel MJ

    更新日期:2014-03-01 00:00:00

  • Nocturnal Excretion in Healthy Older Women and Rationale for a Safer Approach to Sleep Disruption.

    abstract:OBJECTIVES:Insomnia, especially difficulty maintaining sleep, is prevalent among older adults and increases the incidence of falls and fractures. Moreover, the drugs used to treat it exacerbate the risk. Yet current therapies fail to address one of its most common causes in older adults: nocturia and its primary contri...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16144

    authors: Tyagi S,Perera S,Clarkson BD,Tadic SD,Resnick NM

    更新日期:2019-12-01 00:00:00

  • A clinicopathological study of CT scans in Alzheimer's disease.

    abstract:OBJECTIVE:To investigate the accuracy of cranial computerized tomography (CT) scans in distinguishing patients with Alzheimer's disease from those with other dementing conditions. DESIGN:Retrospective clinicopathological correlation with pre-mortem CT scans. SETTING:Urban and rural hospitals and nursing homes in the ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1992.tb02014.x

    authors: Mendez MF,Mastri AR,Zander BA,Frey WH 2nd

    更新日期:1992-05-01 00:00:00

  • Association of Alzheimer's disease and smoking: the case for sibling controls.

    abstract:OBJECTIVES:To study the association between cigarette smoking and Alzheimer's Disease (AD). DESIGN:Intrafamily case-control, with sibling controls and a variable number of controls per case. SETTING:AD cases were identified through the Research Registry of the University Hospitals of the Cleveland/Case Western Reserv...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb04756.x

    authors: Debanne SM,Rowland DY,Riedel TM,Cleves MA

    更新日期:2000-07-01 00:00:00

  • Age and the risk of warfarin-associated hemorrhage: the anticoagulation and risk factors in atrial fibrillation study.

    abstract:OBJECTIVES:To assess whether older age is independently associated with hemorrhage risk in patients with atrial fibrillation, whether or not they are taking warfarin therapy. DESIGN:Cohort study. SETTING:Integrated healthcare delivery system. Thirteen thousand five hundred fifty-nine adults with nonvalvular atrial fi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2006.00828.x

    authors: Fang MC,Go AS,Hylek EM,Chang Y,Henault LE,Jensvold NG,Singer DE

    更新日期:2006-08-01 00:00:00

  • Disparities in influenza vaccine coverage in the United States, 2008.

    abstract:OBJECTIVES:To determine the distribution of influenza vaccine coverage in the United States in 2008. DESIGN:Cross-sectional analysis. SETTING:The 2008 Behavioral Risk Factor Surveillance Survey, which employs random-digit dialing to interview noninstitutionalized adults in the United States and territories. PARTICIP...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.02904.x

    authors: Linn ST,Guralnik JM,Patel KV

    更新日期:2010-07-01 00:00:00

  • Self-Reported Hearing Status Is Associated with Lower Limb Physical Performance, Perceived Mobility, and Activities of Daily Living in Older Community-Dwelling Men and Women.

    abstract:OBJECTIVES:To explore the associations between self-reported hearing problems and physical performance and self-reported difficulties in mobility and activities of daily living (ADLs) in community-dwelling older adults. DESIGN:Cross-sectional cohort study. SETTING:Community. PARTICIPANTS:Men and women aged 75 to 90 ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.13381

    authors: Mikkola TM,Polku H,Portegijs E,Rantakokko M,Rantanen T,Viljanen A

    更新日期:2015-06-01 00:00:00

  • Psychiatric emergency consultations to elderly patients in a Canadian general hospital.

    abstract::The authors compared the demographic and clinical characteristics and treatment recommendations for elderly (greater than or equal to 60 years) and younger patients (17 to 59 years) seen for an emergency psychiatric consultation in a teaching general hospital. Findings revealed 11 distinctive characteristics that diff...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1986.tb05474.x

    authors: Pérez EL,Blouin J

    更新日期:1986-02-01 00:00:00

  • Severe impairment of dietary folate utilization in the elderly.

    abstract::Absorption of folates, vitamin B6, pantothenate, and riboflavin from a natural food source (yeast) and from synthetic folylmonoglutamate was studied in 24 elderly subjects (age range, 73 to 101 years) and in 12 healthy younger subjects (age range, 24 to 42 years). All subjects absorbed riboflavin, vitamin B6, and pant...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1978.tb01962.x

    authors: Baker H,Jaslow SP,Frank O

    更新日期:1978-05-01 00:00:00

  • Critical Workforce Gaps in Dementia Education and Training.

    abstract::The US Department of Health and Human Services and the Foundation for the National Institutes of Health, through private sector support, sponsored the National Research Summit on Dementia Care: Building Evidence for Services and Supports (Summit) in 2017. Various workgroups were asked to address topics of interest in ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16341

    authors: Weiss J,Tumosa N,Perweiler E,Forciea MA,Miles T,Blackwell E,Tebb S,Bailey D,Trudeau SA,Worstell M

    更新日期:2020-03-01 00:00:00

  • Variation in the ciliary neurotrophic factor gene and muscle strength in older Caucasian women.

    abstract:OBJECTIVES:To determine whether genetic variants in the ciliary neurotrophic factor (CNTF) gene are associated with muscle strength in older women. DESIGN:Cross-sectional analysis of baseline data from the Women's Health and Aging Studies I (1992) and II (1994), complementary population-based studies. SETTING:Twelve ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2006.00693.x

    authors: Arking DE,Fallin DM,Fried LP,Li T,Beamer BA,Xue QL,Chakravarti A,Walston J

    更新日期:2006-05-01 00:00:00

  • Aging and alcohol abuse.

    abstract::Demographic information suggests that the problems of alcohol abuse among the elderly will increase at least in proportion to the population growth of that sector. While fewer older people drink and average consumption declines, four factors that promote alcohol abuse are noted. These are: 1) retirement, with its atte...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.1982.tb01287.x

    authors: Brody JA

    更新日期:1982-02-01 00:00:00

  • Prevention of falls in the elderly.

    abstract::To prevent falls effectively, one must first understand the underlying reasons. Although environmental factors are sometimes to blame, the fundamental cause is a decline in postural control which is partly age-related and partly due to pathologic changes in the central nervous system. Dizziness is a common complaint a...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1980.tb01125.x

    authors: Overstall PW

    更新日期:1980-11-01 00:00:00

  • Heat Waves, Drugs with Anticholinergic Effects, and Outcomes in Older Hospitalized Adults.

    abstract:OBJECTIVES:To determine whether heat waves (HWs) affect exposure to drugs with anticholinergic effects (DACEs) on admission and the effect of such on length of stay (LOS) and in-hospital mortality in older adults. DESIGN:Retrospective. SETTING:Metropolitan teaching hospital. PARTICIPANTS:Individuals aged 65 and olde...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14100

    authors: Mangoni AA,Kim S,Hakendorf P,Mayner L,Woodman RJ

    更新日期:2016-05-01 00:00:00

  • Handgrip strength and mortality in older Mexican Americans.

    abstract:OBJECTIVES:To examine the association between handgrip strength and mortality in older Mexican American men and women. DESIGN:A 5-year prospective cohort study. SETTING:Five southwestern states: Texas, New Mexico, Colorado, Arizona, and California. PARTICIPANTS:A population-based sample of 2,488 noninstitutionalized...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2002.50312.x

    authors: Al Snih S,Markides KS,Ray L,Ostir GV,Goodwin JS

    更新日期:2002-07-01 00:00:00

  • Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care.

    abstract::Although computerized physician order entry (CPOE) has been successfully implemented in many acute care hospitals, few descriptions of its use in the long-term care (LTC) setting are available. This report describes the experiences of one LTC facility in developing and implementing a CPOE system with clinical decision...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2005.53515.x

    authors: Rochon PA,Field TS,Bates DW,Lee M,Gavendo L,Erramuspe-Mainard J,Judge J,Gurwitz JH

    更新日期:2005-10-01 00:00:00