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:: Volume 3, Issue 10 (Summer 2017) ::
Caspian.J.Neurol.Sci 2017, 3(10): 118-127 Back to browse issues page
Cognitive Impairment and Its Associated Factors in Patients Undergoing Hemodialysis: A Cross Sectional Study
Alia Saberi , Ali Monfared , Abdol-rasoul Sobhani , Zahra Atrkar-Roushan , Sajjad Rezaei , Behnaz Sobhani , Farnaz Sobhani
Department of Psychology, University of Guilan, Rasht, Iran; rezaei_psy@hotmail.com
Abstract:   (268 Views)
Background: Hemodialysis is a treatment for end-stage renal disease (ESRD) that is an underlying factor of cognitive impairment in patients.
Objectives: This study was conducted to evaluate the prevalence of cognitive impairment and its associated factors in patients undergoing hemodialysis using Montreal Cognitive Assessment (MoCA).
Materials and Methods: This cross-sectional study was carried out in 2016 in the dialysis unit of an academic hospital in the north of Iran. A total of two hundreds and twenty-four patients with chronic renal failure and ESRD presenting to for hemodialysis were included. All the patients were evaluated by the MoCA and the cut-off point was set at ≤25 for confirming cognitive impairment. The data obtained were analyzed in SPSS-18 using the Chi-square test, Mann-Whitney’s U-test, Fisher’s exact test, the independent t-test and the binomial logistic regression.
Results: From the total of 224 patients examined, 93 (41.52%) had developed cognitive impairment. The variables of age, stroke, education and diabetes were entered into the logistic regression model to analyze the associated risk factors, but only age and a history of stroke showed a significant relationship with this impairment; that is, the possibility of cognitive impairment increases with increasing age and a history of stroke can increase its risk six-fold.
Conclusion: Cognitive impairment was a relatively frequent complication of hemodialysis in this study which was performed in the north of Iran. Aging and a history of stroke are risk factors of cognitive impairment in patients with chronic kidney failure undergoing hemodialysis treatment.
Keywords: Cognitive Dysfunction, Renal Dialysis, Kidney Failure
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Type of Study: Research | Subject: Special
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DOI: 10.18869/acadpub.cjns.3.10.118

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Saberi A, Monfared A, Sobhani A, Atrkar-Roushan Z, Rezaei S, Sobhani B et al . Cognitive Impairment and Its Associated Factors in Patients Undergoing Hemodialysis: A Cross Sectional Study. Caspian.J.Neurol.Sci. 2017; 3 (10) :118-127
URL: http://cjns.gums.ac.ir/article-1-177-en.html
Volume 3, Issue 10 (Summer 2017) Back to browse issues page
مجله علوم اعصاب کاسپین Caspian Journal of Neurological Sciences

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