流行病学

心衰患者新发痴呆:与死亡和再住院风险升高相关

来源:JACC. Advances · PMID 42954690 · DOI 10.1016/j.jacadv.2026.103248 · 来源:IMA 知识库《文献层·文献监控卡片》2026-11-01 期 · 摘要级(file_id dlMXdlgtPZzo,实际下载核验) · 摘要级,未获取付费墙全文

时间标签:数据日期 2026-11-01 · 生成时间 2026-11-01 05:30(Asia/Shanghai)| 检索窗口 PubMed edat 2026/10/31–2026/11/01 | 情报发生日期 2026-11-01

证据级别:摘要级。本条依据 PubMed 结构化摘要与元数据撰写,付费墙全文未获取、未逐节核验,本站未做任何数值推算补全。

研究问题

The objectives of the study were to: 1) compare dementia incidence in newly-diagnosed patients with HF or matched non-HF controls; and 2) examine risk factors for and outcomes after dementia diagnosis in HF patients.

方法

The objectives of the study were to: 1) compare dementia incidence in newly-diagnosed patients with HF or matched non-HF controls; and 2) examine risk factors for and outcomes after dementia diagnosis in HF patients.

核心结论

Incident dementia was associated with higher multivariable-adjusted hazards of all-cause mortality (HR: 2.44; 95% CI: 2.40-2.49) and all-cause hospitalization (HR: 1.63; 95% CI: 1.58-1.69) in outpatients with HF (all P < 0.001).;Rates of outpatient physician visits with primary care, internal medicine, cardiologists (post/pre-rate ratio range 1.08-1.19), and geriatricians (post/prerate ratio 10.70; all P < 0.001) were higher after (versus before) dementia onset.;Incident HF was associated with higher risk of incident dementia.;Dementia onset was associated with higher rates of outpatient physician visits and increased risk of adverse outcomes.

局限

(原文未给出可直接抽取的对应表述)

对本项目的价值

临床前机制证据,需评估物种外推与剂量可行性:血管老化是全身衰老的先行指标,可与其他时钟做交叉验证。 | 价值分 1.0/5(★☆☆☆☆)

全文来源

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原文题录

  • 英文标题:Incidence of Dementia and Subsequent Outcomes in Patients With Heart Failure.
  • 期刊与标识:JACC. Advances · PMID 42954690 · DOI 10.1016/j.jacadv.2026.103248

A 级证据分级:A 级(同行评议人体研究)

本文属人体研究证据,但需注意:观察性或小样本干预的结论不等于已证实临床获益;效应量与长期安全性仍需更大规模、更长随访的试验验证。

关于本文的文献来源:本站依据 IMA 知识库「五刊监控·深度文献卡片」(SOP §4.2 摘要级)撰写,依据期刊公开摘要与 PubMed 元数据;付费墙全文未获取之处已标注「待补全文」,未做任何数值推算补全。