BACKGROUND: @entity73 is prevalent in @entity712 ( @entity712 ) with severe consequences, including increased risk of mortality and reduced ability to self-manage @entity712 symptoms. Identifying @entity73 through screening would assist clinicians in managing @entity712 and comorbid @entity73 . However, the accuracy of cognitive screening instruments for @entity712 has not been adequately determined. OBJECTIVE: The aim of this study was to determine the diagnostic accuracy of cognitive screening instruments in screening for @entity73 ( @entity73 ) in @entity712 @entity1 . METHODS: A systematic review of major electronic bibliographic databases was searched from January 1999 to June 2013. Inclusion criteria were as follows: primary studies examining @entity73 in @entity712 , administration of a cognitive screening instrument and neuropsychological test battery, and @entity73 indicated by performance on neuropsychological tests 1.5 SDs less than that of normative data. Methodological rigor of included publications was evaluated using 2 bias risk instruments: QUality Assessment of Diagnostic Accuracy Studies and STAndards for the Reporting of Diagnostic accuracy studies. The precision, accuracy, and receiver operating characteristic curves of the Mini Mental State Examination were computed. RESULTS: From 593 citations identified, 8 publications met inclusion criteria. Risk of bias included selective @entity712 @entity1 samples, and no study examined the diagnostic test accuracy of the cognitive screening instruments. The Mini Mental State Examination had low sensitivity (26%) and high specificity (95%) with a score of 28 or less as the optimal threshold for @entity73 screening. CONCLUSIONS: Screening for @entity73 in @entity712 is recommended; however, future studies need to establish the diagnostic accuracy of screening instruments of @entity73 in this population.

Diagnostic Accuracy of Cognitive Screening Instruments in XXXX : A Systematic Review.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive impairment', 'MCI', 'mild cognitive impairment', 'Cognitive impairment'] @entity712 :: ('MESH:D006333', 'Disease') :: ['HF', 'heart failure']
@entity712 :: (MESH:D006333,Disease) :: ['Heart Failure']
