Evidence map›Paper›PMID 32557090›Full record

ArticleInternal and emergency medicine2021

Cognitive impairment in patients hospitalized for congestive heart failure: data from the RICA Registry.

José Miguel García Bruñén, Marina Povar Echeverria, Jesús Díez-Manglano, Luis Manzano, Joan Carles Trullàs, Jorge Manuel Romero Requena, Mª Prado Salamanca Bautista, Álvaro González Franco, José María Cepeda Rodrigo, Manuel Montero-Pérez-Barquero and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Internal and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Assessment of cognitive function in patients with heart failure: impact of clinical and sociodemographic factors.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  2. Review
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  9. Cognitive Impairment in Acute Heart Failure: Narrative Review.Journal of cardiovascular development and disease · 2021
    Review
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  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 1 country.

José Miguel García BruñénDepartment of Internal Medicine, Hospital Miguel Servet, Saragossa, Spain.
Marina Povar EcheverriaDepartment of Internal Medicine, Hospital Miguel Servet, Saragossa, Spain.
Jesús Díez-ManglanoDepartment of Internal Medicine, Hospital Royo Villanova, Avda San Gregorio nº 30, 50015, Saragossa, Spain. jdiez@aragon.es.ORCID http://orcid.org/0000-0002-3132-2171
Luis ManzanoDepartment of Internal Medicine, University Hospital Ramón y Cajal, University of Alcalá (IRYCIS), Madrid, Spain.
Joan Carles TrullàsDepartment of Internal Medicine, Hospital d'Olot i comarcal de la Garrotxa, Olot, Girona, Spain.
Jorge Manuel Romero RequenaDepartment of Internal Medicine, Hospital Perpetuo Socorro, Badajoz, Spain.
Mª Prado Salamanca BautistaDepartment of Internal Medicine, University Hospital Virgen Macarena, Seville, Spain.
Álvaro González FrancoDepartment of Internal Medicine, University Hospital Central de Asturias, Oviedo, Spain.
José María Cepeda RodrigoDepartment of Internal Medicine, Hospital Vega Baja, Orihuela, Alicante, Spain.
Manuel Montero-Pérez-BarqueroDepartment of Internal Medicine, IMIBIC/Hospital Reina Sofía, University of Córdoba, Córdoba, Spain.
RICA Investigators Group
Hospital Universitario Miguel Servet · ESHospital Perpetuo Socorro · ESHospital Universitario Central de Asturias · ESHospital Universitario Virgen Macarena · ESHospital Vega Baja · ESInstituto Maimónides de Investigación Biomédica de Córdoba · ESServicio Aragonés de Salud · ESUniversidad de Alcalá · ESUniversitat de Vic - Universitat Central de Catalunya · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study is to determine the prevalence of cognitive impairment (CogI) in patients hospitalized for congestive heart failure, and the influence of CogI on mortality and hospital readmission. This is a multicenter cohort study of patients hospitalized for congestive heart failure enrolled in the RICA registry. The patients were divided into 3 groups according to their Short Portable Mental Status Questionnaire score: 0-3 errors (no CogI or mild CogI), 4-7 (moderate CogI) and 8-10 (severe CogI). A total of 3845 patients with a mean (SD) age of 79 (8.6) years were included; 2038 (53%) were women. A total of 550 (14%) patients had moderate CogI and 76 (2%) had severe CogI. Factors independently associated with severe CogI were age (OR 1.09, 95% CI 1.05-1.14 p < 0.001), male sex (OR 0.57, 95% CI 0.34-0.95, p = 0.031), heart rate (OR 1.01, 95% CI 1.00-1.02, p = 0.004), Charlson index (OR 1.16, 95% CI 1.06-1.27, p = 0.002), and history of stroke (OR 2.67, 95% CI 1.60-4.44, p < 0.001). Severe CogI was associated with higher mortality after one year (HR 3.05, 95% CI 2.25-4.14, p < 0.001). The composite variable of death/hospital readmission was higher in patients with CogI (log rank p < 0.001). Patients with heart failure and severe CogI are older and have a higher comorbidity burden, lower survival, and a higher rate of death or readmission at 1 year, compared to patients with no CogI.

Indexed as

AgedCognitive DysfunctionFemaleHeart FailureHospitalizationHumansMalePatient ReadmissionPrevalencePsychiatric Status Rating ScalesRegistriesRisk FactorsSpainCognitive impairmentCohort studyHeart failureHospital readmissionsMortality

Identifiers

PMID32557090
OpenAlexW3036878348

What OpenQuestion holds

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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.