Lonely heart-failure patients face worse outcomes than sociable peers frontiersin
), a composite of a 3-item recall test and a clock-drawing test, by trained personnel. The Mini-Cog was scored on a 5-point scale , and a score ≤ 2 was considered as indicating cognitive impairment.
Physical frailty was measured using the revised Japanese version of the Cardiovascular Health Study criteria by a trained physical therapist. Patients with physical frailty were defined as patients who had at least three of the following characteristics: weakness , shrinking , exhaustion , slowness , and low activity .The clinical endpoint in this study was the first adverse event defined as a composite of all-cause death and unscheduled readmission due to worsening HF.
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