Is it time for Heart–Brain clinics? A clinical survey and proposition to improve current care for cognitive problems in heart failure
Background Cognitive impairment is highly prevalent among patients with heart failure (HF). International guidelines on the management of HF recommend screening for cognitive impairment and tailored care for patients with cognitive impairment. However, practical guidance is lacking. In this study, w...
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| Veröffentlicht in: | Clinical cardiology (Mahwah, N.J.) N.J.), 2024-01, Vol.47 (1), p.e24200-n/a |
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| container_title | Clinical cardiology (Mahwah, N.J.) |
| container_volume | 47 |
| creator | Nijskens, Charlotte M. Thomas, Elias G. Rhodius‐Meester, Hanneke F. M. Daemen, Mat J. A. P. Biessels, Geert Jan Handoko, M. Louis Muller, Majon |
| description | Background
Cognitive impairment is highly prevalent among patients with heart failure (HF). International guidelines on the management of HF recommend screening for cognitive impairment and tailored care for patients with cognitive impairment. However, practical guidance is lacking. In this study, we explore cardiologists' perspective on screening and care for cognitive impairment in patients with HF. We give an example of a multidisciplinary Heart–Brain care pathway that facilitates screening for cognitive impairment in patients with HF.
Methods
We distributed an online survey to cardiologists from the Dutch working groups on Geriatric Cardiology and Heart Failure. It covered questions about current clinical practice, impact of cognitive impairment on clinical decision‐making, and their knowledge and skills to recognize cognitive impairment.
Results
Thirty‐six out of 55 invited cardiologists responded. Only 3% performed structured cognitive screening, while 83% stated that not enough attention is paid to cognitive impairment. More than half of the cardiologists desired more training in recognizing cognitive impairment and three‐quarters indicated that knowing about cognitive impairment would change their treatment plan. Eighty percent agreed that systematic cognitive screening would benefit their patients and 74% wished to implement a Heart–Brain clinic. Time and expertise were addressed as the major barriers to screening for cognitive impairment.
Conclusion
Although cardiologists are aware of the clinical relevance of screening for cognitive impairment in cardiology patients, such clinical conduct is not yet commonly practiced due to lack of time and expertise. The Heart–Brain care pathway could facilitate this screening, thus improving personalized care in cardiology. |
| doi_str_mv | 10.1002/clc.24200 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2918514131</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2918514131</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3480-1b43e93ca6d9e7b74227ef8e6c9ef05faee748da16ea2040935145bdccf587f63</originalsourceid><addsrcrecordid>eNp10btOHDEUBmALBYWFpOAFkKU0UAz4MhdPFS2rJIu0Eg2pRx7PMRh57MWeWbRdujxA3jBPErOzUESismV__o-lH6FTSi4pIexKWXXJckbIAZrRmrNMVLz6gGaEliSrmaiP0HGMj4kSwfhHdMQFFZwzMkO_byI2Ax5MD1j7gJcgw_D315_rII3DyhpnVPyK5_uttDiOYQNbLF2H18GvfTSD8Q4PHps-HWwAqzEEcANWMkyhyt-7pNJVAq2FPs10-OFlFNbS2DHAJ3SopY3web-eoJ_fv90tltnq9sfNYr7KFM8FyWibc6i5kmVXQ9VWOWMVaAGlqkGTQkuAKhedpCVIRnJS84LmRdsppQtR6ZKfoPMpN_3kaYQ4NL2JCqyVDvwYG1ZTkZ5QThP98h999GNw6Xc7lXKrgiV1MSkVfIwBdLMOppdh21DSvLTTpHaaXTvJnu0Tx7aH7k2-1pHA1QSejYXt-0nNYrWYIv8BQqya-w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2918145752</pqid></control><display><type>article</type><title>Is it time for Heart–Brain clinics? A clinical survey and proposition to improve current care for cognitive problems in heart failure</title><source>Wiley Online Library Open Access</source><source>DOAJ Directory of Open Access Journals</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Nijskens, Charlotte M. ; Thomas, Elias G. ; Rhodius‐Meester, Hanneke F. M. ; Daemen, Mat J. A. P. ; Biessels, Geert Jan ; Handoko, M. Louis ; Muller, Majon</creator><creatorcontrib>Nijskens, Charlotte M. ; Thomas, Elias G. ; Rhodius‐Meester, Hanneke F. M. ; Daemen, Mat J. A. P. ; Biessels, Geert Jan ; Handoko, M. Louis ; Muller, Majon</creatorcontrib><description>Background
Cognitive impairment is highly prevalent among patients with heart failure (HF). International guidelines on the management of HF recommend screening for cognitive impairment and tailored care for patients with cognitive impairment. However, practical guidance is lacking. In this study, we explore cardiologists' perspective on screening and care for cognitive impairment in patients with HF. We give an example of a multidisciplinary Heart–Brain care pathway that facilitates screening for cognitive impairment in patients with HF.
Methods
We distributed an online survey to cardiologists from the Dutch working groups on Geriatric Cardiology and Heart Failure. It covered questions about current clinical practice, impact of cognitive impairment on clinical decision‐making, and their knowledge and skills to recognize cognitive impairment.
Results
Thirty‐six out of 55 invited cardiologists responded. Only 3% performed structured cognitive screening, while 83% stated that not enough attention is paid to cognitive impairment. More than half of the cardiologists desired more training in recognizing cognitive impairment and three‐quarters indicated that knowing about cognitive impairment would change their treatment plan. Eighty percent agreed that systematic cognitive screening would benefit their patients and 74% wished to implement a Heart–Brain clinic. Time and expertise were addressed as the major barriers to screening for cognitive impairment.
Conclusion
Although cardiologists are aware of the clinical relevance of screening for cognitive impairment in cardiology patients, such clinical conduct is not yet commonly practiced due to lack of time and expertise. The Heart–Brain care pathway could facilitate this screening, thus improving personalized care in cardiology.</description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.24200</identifier><identifier>PMID: 38183320</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Blood pressure ; Cardiology ; cardiovascular dysfunction ; Clinical medicine ; Clinics ; Cognition & reasoning ; Cognitive ability ; cognitive decline ; Dementia ; Geriatrics ; Heart failure ; Memory ; Patients ; Physicians ; Primary care ; Problem solving ; Questionnaires ; vascular cognitive impairment ; vascular dementia ; Working groups</subject><ispartof>Clinical cardiology (Mahwah, N.J.), 2024-01, Vol.47 (1), p.e24200-n/a</ispartof><rights>2024 The Authors. published by Wiley Periodicals LLC.</rights><rights>2024 The Authors. Clinical Cardiology published by Wiley Periodicals LLC.</rights><rights>2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3480-1b43e93ca6d9e7b74227ef8e6c9ef05faee748da16ea2040935145bdccf587f63</cites><orcidid>0000-0002-7153-3467</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fclc.24200$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fclc.24200$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,860,1411,11541,27901,27902,45550,45551,46027,46451</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38183320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nijskens, Charlotte M.</creatorcontrib><creatorcontrib>Thomas, Elias G.</creatorcontrib><creatorcontrib>Rhodius‐Meester, Hanneke F. M.</creatorcontrib><creatorcontrib>Daemen, Mat J. A. P.</creatorcontrib><creatorcontrib>Biessels, Geert Jan</creatorcontrib><creatorcontrib>Handoko, M. Louis</creatorcontrib><creatorcontrib>Muller, Majon</creatorcontrib><title>Is it time for Heart–Brain clinics? A clinical survey and proposition to improve current care for cognitive problems in heart failure</title><title>Clinical cardiology (Mahwah, N.J.)</title><addtitle>Clin Cardiol</addtitle><description>Background
Cognitive impairment is highly prevalent among patients with heart failure (HF). International guidelines on the management of HF recommend screening for cognitive impairment and tailored care for patients with cognitive impairment. However, practical guidance is lacking. In this study, we explore cardiologists' perspective on screening and care for cognitive impairment in patients with HF. We give an example of a multidisciplinary Heart–Brain care pathway that facilitates screening for cognitive impairment in patients with HF.
Methods
We distributed an online survey to cardiologists from the Dutch working groups on Geriatric Cardiology and Heart Failure. It covered questions about current clinical practice, impact of cognitive impairment on clinical decision‐making, and their knowledge and skills to recognize cognitive impairment.
Results
Thirty‐six out of 55 invited cardiologists responded. Only 3% performed structured cognitive screening, while 83% stated that not enough attention is paid to cognitive impairment. More than half of the cardiologists desired more training in recognizing cognitive impairment and three‐quarters indicated that knowing about cognitive impairment would change their treatment plan. Eighty percent agreed that systematic cognitive screening would benefit their patients and 74% wished to implement a Heart–Brain clinic. Time and expertise were addressed as the major barriers to screening for cognitive impairment.
Conclusion
Although cardiologists are aware of the clinical relevance of screening for cognitive impairment in cardiology patients, such clinical conduct is not yet commonly practiced due to lack of time and expertise. The Heart–Brain care pathway could facilitate this screening, thus improving personalized care in cardiology.</description><subject>Blood pressure</subject><subject>Cardiology</subject><subject>cardiovascular dysfunction</subject><subject>Clinical medicine</subject><subject>Clinics</subject><subject>Cognition & reasoning</subject><subject>Cognitive ability</subject><subject>cognitive decline</subject><subject>Dementia</subject><subject>Geriatrics</subject><subject>Heart failure</subject><subject>Memory</subject><subject>Patients</subject><subject>Physicians</subject><subject>Primary care</subject><subject>Problem solving</subject><subject>Questionnaires</subject><subject>vascular cognitive impairment</subject><subject>vascular dementia</subject><subject>Working groups</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>BENPR</sourceid><recordid>eNp10btOHDEUBmALBYWFpOAFkKU0UAz4MhdPFS2rJIu0Eg2pRx7PMRh57MWeWbRdujxA3jBPErOzUESismV__o-lH6FTSi4pIexKWXXJckbIAZrRmrNMVLz6gGaEliSrmaiP0HGMj4kSwfhHdMQFFZwzMkO_byI2Ax5MD1j7gJcgw_D315_rII3DyhpnVPyK5_uttDiOYQNbLF2H18GvfTSD8Q4PHps-HWwAqzEEcANWMkyhyt-7pNJVAq2FPs10-OFlFNbS2DHAJ3SopY3web-eoJ_fv90tltnq9sfNYr7KFM8FyWibc6i5kmVXQ9VWOWMVaAGlqkGTQkuAKhedpCVIRnJS84LmRdsppQtR6ZKfoPMpN_3kaYQ4NL2JCqyVDvwYG1ZTkZ5QThP98h999GNw6Xc7lXKrgiV1MSkVfIwBdLMOppdh21DSvLTTpHaaXTvJnu0Tx7aH7k2-1pHA1QSejYXt-0nNYrWYIv8BQqya-w</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Nijskens, Charlotte M.</creator><creator>Thomas, Elias G.</creator><creator>Rhodius‐Meester, Hanneke F. M.</creator><creator>Daemen, Mat J. A. P.</creator><creator>Biessels, Geert Jan</creator><creator>Handoko, M. Louis</creator><creator>Muller, Majon</creator><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7153-3467</orcidid></search><sort><creationdate>202401</creationdate><title>Is it time for Heart–Brain clinics? A clinical survey and proposition to improve current care for cognitive problems in heart failure</title><author>Nijskens, Charlotte M. ; Thomas, Elias G. ; Rhodius‐Meester, Hanneke F. M. ; Daemen, Mat J. A. P. ; Biessels, Geert Jan ; Handoko, M. Louis ; Muller, Majon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3480-1b43e93ca6d9e7b74227ef8e6c9ef05faee748da16ea2040935145bdccf587f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Blood pressure</topic><topic>Cardiology</topic><topic>cardiovascular dysfunction</topic><topic>Clinical medicine</topic><topic>Clinics</topic><topic>Cognition & reasoning</topic><topic>Cognitive ability</topic><topic>cognitive decline</topic><topic>Dementia</topic><topic>Geriatrics</topic><topic>Heart failure</topic><topic>Memory</topic><topic>Patients</topic><topic>Physicians</topic><topic>Primary care</topic><topic>Problem solving</topic><topic>Questionnaires</topic><topic>vascular cognitive impairment</topic><topic>vascular dementia</topic><topic>Working groups</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nijskens, Charlotte M.</creatorcontrib><creatorcontrib>Thomas, Elias G.</creatorcontrib><creatorcontrib>Rhodius‐Meester, Hanneke F. M.</creatorcontrib><creatorcontrib>Daemen, Mat J. A. P.</creatorcontrib><creatorcontrib>Biessels, Geert Jan</creatorcontrib><creatorcontrib>Handoko, M. Louis</creatorcontrib><creatorcontrib>Muller, Majon</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nijskens, Charlotte M.</au><au>Thomas, Elias G.</au><au>Rhodius‐Meester, Hanneke F. M.</au><au>Daemen, Mat J. A. P.</au><au>Biessels, Geert Jan</au><au>Handoko, M. Louis</au><au>Muller, Majon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is it time for Heart–Brain clinics? A clinical survey and proposition to improve current care for cognitive problems in heart failure</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><addtitle>Clin Cardiol</addtitle><date>2024-01</date><risdate>2024</risdate><volume>47</volume><issue>1</issue><spage>e24200</spage><epage>n/a</epage><pages>e24200-n/a</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><abstract>Background
Cognitive impairment is highly prevalent among patients with heart failure (HF). International guidelines on the management of HF recommend screening for cognitive impairment and tailored care for patients with cognitive impairment. However, practical guidance is lacking. In this study, we explore cardiologists' perspective on screening and care for cognitive impairment in patients with HF. We give an example of a multidisciplinary Heart–Brain care pathway that facilitates screening for cognitive impairment in patients with HF.
Methods
We distributed an online survey to cardiologists from the Dutch working groups on Geriatric Cardiology and Heart Failure. It covered questions about current clinical practice, impact of cognitive impairment on clinical decision‐making, and their knowledge and skills to recognize cognitive impairment.
Results
Thirty‐six out of 55 invited cardiologists responded. Only 3% performed structured cognitive screening, while 83% stated that not enough attention is paid to cognitive impairment. More than half of the cardiologists desired more training in recognizing cognitive impairment and three‐quarters indicated that knowing about cognitive impairment would change their treatment plan. Eighty percent agreed that systematic cognitive screening would benefit their patients and 74% wished to implement a Heart–Brain clinic. Time and expertise were addressed as the major barriers to screening for cognitive impairment.
Conclusion
Although cardiologists are aware of the clinical relevance of screening for cognitive impairment in cardiology patients, such clinical conduct is not yet commonly practiced due to lack of time and expertise. The Heart–Brain care pathway could facilitate this screening, thus improving personalized care in cardiology.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>38183320</pmid><doi>10.1002/clc.24200</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-7153-3467</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical cardiology (Mahwah, N.J.), 2024-01, Vol.47 (1), p.e24200-n/a |
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| source | Wiley Online Library Open Access; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Blood pressure Cardiology cardiovascular dysfunction Clinical medicine Clinics Cognition & reasoning Cognitive ability cognitive decline Dementia Geriatrics Heart failure Memory Patients Physicians Primary care Problem solving Questionnaires vascular cognitive impairment vascular dementia Working groups |
| title | Is it time for Heart–Brain clinics? A clinical survey and proposition to improve current care for cognitive problems in heart failure |
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