Evidence map›Paper›PMID 30582968›Full record

ArticleJournal of cardiac failure2019

The Prevalence of Cognitive Impairment Among Adults With Incident Heart Failure: The "Reasons for Geographic and Racial Differences in Stroke" (REGARDS) Study.

Madeline R Sterling, Deanna Jannat-Khah, Joanna Bryan, Samprit Banerjee, Leslie A McClure, Virginia G Wadley, Frederick W Unverzagt, Emily B Levitan, Parag Goyal, Janey C Peterson and 3 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of cardiac failure, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Heart Meets Brain: Insights into Neurocardiac Pathophysiology.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. The Glymphatic System and Its Role in Neurovascular Diseases.Journal of neuroendovascular therapy · 2025
    Review
  9. Trajectory of Cardiogenic Dementia: A New Perspective.Journal of cellular and molecular medicine · 2025
    Review
  10. Article
  11. Article
  12. Trajectory of Cognitive Function After Incident Heart Failure.medRxiv : the preprint server for health sciences · 2024
    Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Cognitive Impairment in Acute Heart Failure: Narrative Review.Journal of cardiovascular development and disease · 2021
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Madeline R SterlingDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medical College, New York, New York. Electronic address: mrs9012@med.cornell.edu.
Deanna Jannat-KhahDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medical College, New York, New York.
Joanna BryanDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medical College, New York, New York.
Samprit BanerjeeDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York.
Leslie A McClureDornsife School of Public Health at Drexel University, Philadelphia, Pennsylvania.
Virginia G WadleyDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Frederick W UnverzagtDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana.
Emily B LevitanDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama.
Parag GoyalDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medical College, New York, New York; Division of Cardiology, Department of Medicine, Weill Cornell Medical College, New York, New York.
Janey C PetersonDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medical College, New York, New York.
Jennifer J ManlyDepartment of Neurology, Columbia University Medical Center, New York, New York.
Deborah A LevineDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Monika M SaffordDivision of General Internal Medicine, Department of Medicine, Weill Cornell Medical College, New York, New York.
Cornell University · USUniversity of Alabama at Birmingham · USColumbia University Irving Medical Center · USDrexel University · USIndiana University School of MedicineUniversity of Michigan · US

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
REGARDS - MI StudyR01HL080477 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LEVITAN, EMILY B, SAFFORD, MONIKA M · 2006 to 2020
$11.6M
REasons for Geographic And Racial Differences in Stroke-Myocardial Infarction-4 (REGARDS-MI-4)R01HL165452 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LEVITAN, EMILY B, SAFFORD, MONIKA M · 2022 to 2025
$8.3M
Weill Cornell Training Program in Health Services ResearchT32HS000066 · AHRQ · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHARLSON, MARY E · 1994 to 2018
$4.7M
INSPIRE: Intervention to Support Participation in Regular Exercise in the ElderlyK23AG042869 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI PETERSON, JANEY CHRISTINE · 2013 to 2016
$671k
Impact of Polypharmacy on Rehospitalization in Older Adults with Heart FailureR03AG056446 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI GOYAL, PARAG · 2017 to 2018
$265k
AHRQ HHS T32 HS000066NHLBI NIH HHS R01 HL080477NHLBI NIH HHS R01 HL165452NIA NIH HHS K23 AG042869NIA NIH HHS L30 AG060521NIA NIH HHS R03 AG056446NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

backgroundCognitive impairment (CI) is estimated to be present in 25%-80% of heart failure (HF) patients, but its prevalence at diagnosis is unclear. To improve our understanding of cognition in HF, we determined the prevalence of CI among adults with incident HF in the REGARDS study. METHODS AND

resultsREGARDS is a longitudinal cohort study of adults ≥45 years of age recruited in the years 2003-2007. Incident HF was expert adjudicated. Cognitive function was assessed with the Six-Item Screener. The prevalence of CI among those with incident HF was compared with the prevalence of CI among an age-, sex-, and race-matched cohort without HF. The 436 participants with incident HF had a mean age of 70.3 years (SD 8.9), 47% were female, and 39% were black. Old age, black race, female sex, less education, and anticoagulation use were associated with CI. The prevalence of CI among participants with incident HF (14.9% [95% CI 11.7%-18.6%]) was similar to the non-HF matched cohort (13.4% [11.6%-15.4%]; P < .43).

conclusionsA total of 14.9% of the adults with incident HF had CI, suggesting that the majority of cognitive decline occurs after HF diagnosis. Increased awareness of CI among newly diagnosed patients and ways to mitigate it in the context of HF management are warranted.

Indexed as

Racial GroupsAgedCognitionCognitive DysfunctionFemaleFollow-Up StudiesHeart FailureHumansIncidenceMalePrevalenceRetrospective StudiesRisk FactorsUnited Statescognitioncohort studyHeart failurehospitalizationprevalence

Identifiers

PMID30582968
PMCPMC6377841
OpenAlexW2906301526

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.