Evidence map›Paper›PMID 31035921›Full record

SynthesisBMC cardiovascular disorders2019

Self-management of heart failure in dementia and cognitive impairment: a systematic review.

Janaka Lovell, Tony Pham, Samer Q Noaman, Marie-Claire Davis, Marilyn Johnson, Joseph E Ibrahim

Open access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
6.7field-weighted citation impact, top 2% 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

55 citing papers in PubMed, 102 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Longitudinal associations between congruence in dyadic care type and health-related quality of life among multiple chronic conditions patient-caregiver dyads.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review
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

6 authors at 4 institutions in 1 country.

Janaka LovellDepartment of Forensic Medicine, Monash University, 65 Kavanagh Street, Southbank, Victoria, 3006, Australia. janakalovell@gmail.com.ORCID 0000-0002-8473-2633
Tony PhamDepartment of Forensic Medicine, Monash University, 65 Kavanagh Street, Southbank, Victoria, 3006, Australia.
Samer Q NoamanDepartment of Cardiology, Alfred Health, Victoria, 3004, Australia.
Marie-Claire DavisCalvary Health Care Bethlehem, Victoria, 3162, Australia.
Marilyn JohnsonInstitute of Transport Studies, Monash University, Victoria, 3800, Australia.
Joseph E IbrahimDepartment of Forensic Medicine, Monash University, 65 Kavanagh Street, Southbank, Victoria, 3006, Australia.
Victorian Institute of Forensic Medicine · AUAlfred Health · AUCalvary Health Care Bethlehem · AUMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe cornerstone of effective management in heart failure (HF) is the ability to self-care. Aims include i) To determine factors influencing self-care in HF patients with cognitive impairment (CI) and ii) to determine the influence of cognitive domains on self-care in patients with HF and CI.

methodsMEDLINE, CINAHL, EMBASE, EBSCOHost, PsychINFO, ProQuest Research Library, Health Technology Assessment Database, The Cochrane Library, Web of Science and Scopus databases were systematically searched. Original research describing the relationship between cognition and HF self-care in community-dwelling older persons with dementia/CI in English, published in a peer-reviewed journal from 1

resultsOf 10,688 studies identified, 14 met the inclusion criteria. Patients with HF and CI ranged from 14 to 73%. Where reported, self-care maintenance adequacy ranged from 50 to 61%; self-care management adequacy ranged from 14 to 36% and self-care confidence adequacy ranged from 0 to 44% on the Self-care of Heart Failure Index (SCHFI). All but one study predicted poor self-care ability according to poor outcome on cognitive testing. Additionally, specific cognitive domain deficits impaired self-care. Subjects with lower cognitive scores were less likely to seek assistance while subjects with depression had poor self-care abilities.

conclusionsClinicians must consider the type and severity of impairments in cognitive domains to tailor management. Awareness of depression, self-confidence and support access may modulate self-care ability.

Indexed as

Health BehaviorHealth Knowledge, Attitudes, PracticeAdultAgedAged, 80 and overCognitive DysfunctionDementiaFemaleHeart FailureHumansMaleMental HealthMiddle AgedPrognosisRisk FactorsSelf CareAgingCognitive domainsCognitive impairmentDementiaHeart failureSelf care

Identifiers

PMID31035921
PMCPMC6489234
OpenAlexW2947002042

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.