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App-based assessment of memory functions in patients after transfemoral aortic valve replacement

Journal of Geriatric Cardiology 2023年第9期20卷 664-672页

作者： Jonathan Nübel Michael Hauptmann Julika Schön Georg Fritz christian butter Anja Haase-Fielitz Department of Cardiology University Hospital Heart Centre BrandenburgBrandenburg Medical School(MHB)Theodor FontaneBernauGermany Institute of Biostatistics and Registry Research Brandenburg Medical School Theodor FontaneNeuruppinGermany Faculty of Health Sciences(FGW) Joint Faculty of the University of Potsdamthe Brandenburg Medical School Theodor Fontane and the Brandenburg Technical University Cottbus-SenftenbergCottbusGermany Anesthesia and Intensive Care University Hospital Ruppin Brandenburg(ukrb)Brandenburg Medical School(MHB)Theodor FontaneNeuruppinGermany Department of Anesthesiology Intensive Care and Pain TherapyUniversity Hospital Heart Centre BrandenburgBrandenburg Medical School(MHB)Theodor FontaneBernauGermany Institute of Social Medicine and Health System Research Otto von Guericke University MagdeburgGermany

BACKGROUND Transfemoral aortic valve replacement(TAVR)is the standard treatment for elderly patients with aortic valve *** safe and well-established,there is a risk of intraprocedural hemodynamic instability and silent cerebral embolism,which can lead to a decline in neurocognitive function and *** clinical practice,comprehensive cognitive testing is difficult to ***-assisted digital applications may help to optimize diagnosis and *** Neurocognitive function was assessed by validated psychometric tests using“Δelta-App”,which uses artificial intelligence and computational linguistic methods for extraction and *** function was assessed using the‘Consortium to Establish a Registry for Alzheimer’s Disease’(CERAD)word list and digit span task(DST)before TAVR and before hospital *** study is registered in the German Register of Clinical Trials(https://***/search/de/trial/DRKS00020813).RESULTS From October 2020 until March 2022,141 patients were enrolled at University Hospital Heart Centre *** age was 81±6 years,42.6%were *** between the pre-and post-interventional test was on average 6±3 *** function before TAVR was found to be below average in relation to age and educational *** pre-post TAVR comparison showed significant improvements in the wordlist repeat,P<0.001 and wordlist recall test of CERAD,P<*** were no changes in the digital span *** Despite impaired preoperative memory function before TAVR,no global negative effect on memory function after TVAR was *** improvements shown in the word list test should be interpreted as usual learning effects in this task.

关键词： patients impaired valve

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