Attributes of cognitive impairment in patients on maintenance hemodialysis – A cohort study
BACKGROUND: Chronic kidney disease patients on hemodialysis have higher cognitive impairment than the normal population due to diminishing renal function. Cognitive impairment can be assessed with the Mini-Mental State Examination or the Montreal Cognitive Assessment (MoCA). AIMS AND OBJECTIVES: The...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-07-01
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| Series: | BLDE University Journal of Health Sciences |
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| Online Access: | https://journals.lww.com/10.4103/bjhs.bjhs_110_24 |
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| author | Geet Gaurav Deepa Sanjeev Sajjanar G. V. Naregal Sanjeev L. Sajjanar |
| author_facet | Geet Gaurav Deepa Sanjeev Sajjanar G. V. Naregal Sanjeev L. Sajjanar |
| author_sort | Geet Gaurav |
| collection | DOAJ |
| description | BACKGROUND:
Chronic kidney disease patients on hemodialysis have higher cognitive impairment than the normal population due to diminishing renal function. Cognitive impairment can be assessed with the Mini-Mental State Examination or the Montreal Cognitive Assessment (MoCA).
AIMS AND OBJECTIVES:
The current study aims to assess mild cognitive impairment (MCI) using the MoCA examination and to document the attributes of cognitive impairment in patients on maintenance hemodialysis (MHD).
MATERIALS AND METHODS:
The MoCA examination was administered to all patients in Kannada using the original form SPSS 22.0, developed by SPSS Inc. in Chicago, IL, USA, and was utilized for conducting statistical analyses.
RESULTS:
Continuous variables were summarized by mean and standard deviation, whereas categorical data were summarized by number and percentage. Categorical variables were assessed using the Chi-square test. A value of P < 0.05 was considered as statistically significant. The mean age of the participants was 44.4 ± 15.1 years, and the mean duration of hemodialysis was 13.8 ± 14 months. About 88.6% of participants (n = 62) showed considerable cognitive impairment and 1.4% had frank dementia. A positive association was noted between cognitive impairment and the conditions of diabetes mellitus and hypertension with a relative risk of 1.02 and 1.11, respectively. The functions of naming and orientation were perfectly correlated with the MoCA scores with r = 0.866 and r = 0.893, respectively.
CONCLUSION:
The study suggests that the treating physician can stress more on compliance considering the associated cognitive impairment in MHD patients. Parameters such as age, gender, and race/ethnicity influence MCI. This special population needs more attention. |
| format | Article |
| id | doaj-art-dd0c47bc287447ed88aaf0f3ebd39d5f |
| institution | Kabale University |
| issn | 2468-838X 2456-1975 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | BLDE University Journal of Health Sciences |
| spelling | doaj-art-dd0c47bc287447ed88aaf0f3ebd39d5f2025-02-10T14:45:07ZengWolters Kluwer Medknow PublicationsBLDE University Journal of Health Sciences2468-838X2456-19752024-07-019214615110.4103/bjhs.bjhs_110_24Attributes of cognitive impairment in patients on maintenance hemodialysis – A cohort studyGeet GauravDeepa Sanjeev SajjanarG. V. NaregalSanjeev L. SajjanarBACKGROUND: Chronic kidney disease patients on hemodialysis have higher cognitive impairment than the normal population due to diminishing renal function. Cognitive impairment can be assessed with the Mini-Mental State Examination or the Montreal Cognitive Assessment (MoCA). AIMS AND OBJECTIVES: The current study aims to assess mild cognitive impairment (MCI) using the MoCA examination and to document the attributes of cognitive impairment in patients on maintenance hemodialysis (MHD). MATERIALS AND METHODS: The MoCA examination was administered to all patients in Kannada using the original form SPSS 22.0, developed by SPSS Inc. in Chicago, IL, USA, and was utilized for conducting statistical analyses. RESULTS: Continuous variables were summarized by mean and standard deviation, whereas categorical data were summarized by number and percentage. Categorical variables were assessed using the Chi-square test. A value of P < 0.05 was considered as statistically significant. The mean age of the participants was 44.4 ± 15.1 years, and the mean duration of hemodialysis was 13.8 ± 14 months. About 88.6% of participants (n = 62) showed considerable cognitive impairment and 1.4% had frank dementia. A positive association was noted between cognitive impairment and the conditions of diabetes mellitus and hypertension with a relative risk of 1.02 and 1.11, respectively. The functions of naming and orientation were perfectly correlated with the MoCA scores with r = 0.866 and r = 0.893, respectively. CONCLUSION: The study suggests that the treating physician can stress more on compliance considering the associated cognitive impairment in MHD patients. Parameters such as age, gender, and race/ethnicity influence MCI. This special population needs more attention.https://journals.lww.com/10.4103/bjhs.bjhs_110_24cognitive impairmentcompliancehemodialysismontreal cognitive assessment test |
| spellingShingle | Geet Gaurav Deepa Sanjeev Sajjanar G. V. Naregal Sanjeev L. Sajjanar Attributes of cognitive impairment in patients on maintenance hemodialysis – A cohort study BLDE University Journal of Health Sciences cognitive impairment compliance hemodialysis montreal cognitive assessment test |
| title | Attributes of cognitive impairment in patients on maintenance hemodialysis – A cohort study |
| title_full | Attributes of cognitive impairment in patients on maintenance hemodialysis – A cohort study |
| title_fullStr | Attributes of cognitive impairment in patients on maintenance hemodialysis – A cohort study |
| title_full_unstemmed | Attributes of cognitive impairment in patients on maintenance hemodialysis – A cohort study |
| title_short | Attributes of cognitive impairment in patients on maintenance hemodialysis – A cohort study |
| title_sort | attributes of cognitive impairment in patients on maintenance hemodialysis a cohort study |
| topic | cognitive impairment compliance hemodialysis montreal cognitive assessment test |
| url | https://journals.lww.com/10.4103/bjhs.bjhs_110_24 |
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