Cognitive Impairment and Its Associated Factors in Patients Undergoing Hemodialysis: A Cross Sectional Study

Saberi, Alia; Monfared, Ali Shabestani; Sobhani, Abdolrasoul; Atrkarroushan, Zahra; Rezaei, Sajjad; Sobhani, Behnaz; Sobhani, Farnaz

doi:10.18869/acadpub.cjns.3.10.118

Cited by 1 publication

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References 23 publications

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“…Some of the studies using MoCA have reported prevalence rates of 41.52% to 59%. 14–16 Other studies which used MMSE found prevalence rates of CI between 8.3% to 51%. 17–19 Research done in this domain around the globe have reported different prevalence rates of CI in HD patients, probably because of different population demographics, sample sizes and measures for assessment.…”

Section: Discussionmentioning

confidence: 99%

Cognitive Impairment and its Correlates in Chronic Kidney Disease Patients Undergoing Haemodialysis

Joseph¹,

Bhandari²,

Dutta³

2019

jemds

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BACKGROUND Cognitive Impairment (CI) has been found to be quite common amongst patients with Chronic Kidney Disease (CKD) undergoing haemodialysis (HD). The presence of these deficits could affect patient’s adherence to diet regimens, treatment and also reduce their Quality of Life. The presence of depression in such patients can further lead to CI. We wanted to assess the prevalence of CI in CKD patients undergoing haemodialysis, socio-demographic and patient related variables affecting CI, and also the relationship between depression and cognition. METHODS Fifty patients undergoing haemodialysis from two dialysis units were assessed. The Montreal Cognitive Assessment (MoCA) scale and Patient Health Questionnaire-9 (PHQ-9) were administered to patients. Descriptive analysis was done for the socio-demographic and clinical variables. Chi square test was used to find the association between the categorical data. Kruskal-Wallis test was used to determine the association between categorical and quantitative variables. RESULTS Mean age of patient was 50.32 (±12.4) years. Mean duration of dialysis was 18.8 (±15.11) months. The prevalence of depression in the patients was 42%. Cognitive impairment was present in 44% of the patients. There was a significant relationship between education level and recall (χ2=31.7, df=12, p=.002) as well as orientation (χ2=29.78, df=8, p=.000) domains of cognition. Also, there was a significant relationship between socio-economic status and global cognition score (χ2=81.13, df=48, p=.002). There was a negative correlation between duration of dialysis and cognition. Significant relationships were found between depression and various cognitive domains. CONCLUSIONS The prevalence of CI in haemodialysis patients is high. It is also affected by factors such as education level, socio-economic status, duration of dialysis and presence of depression. Insight into CI is essential for its early identification during the course of illness, so that patient precise treatment decisions can be made.

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Section: Discussionmentioning

confidence: 99%