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Volume 3, Issue 3 (Summer 2017)
Caspian J Neurol Sci 2017, 3(3): 118-127 |
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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 (3) :118-127
URL: http://cjns.gums.ac.ir/article-1-177-en.html
URL: http://cjns.gums.ac.ir/article-1-177-en.html
Alia Saberi1 
, Ali Monfared2 , Abdol-rasoul Sobhani3 , Zahra Atrkar-Roushan4 , Sajjad Rezaei * 5, Behnaz Sobhani6 , Farnaz Sobhani6
, Ali Monfared2 , Abdol-rasoul Sobhani3 , Zahra Atrkar-Roushan4 , Sajjad Rezaei * 5, Behnaz Sobhani6 , Farnaz Sobhani6
1- Neurosciences Research Center, Neurology Department, Pouursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
2- Urology Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
3- Department of Pharmacology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
4- Department of Biostatistics, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
5- Department of Psychology, University of Guilan, Rasht, Iran; rezaei_psy@hotmail.com
6- School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
2- Urology Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
3- Department of Pharmacology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
4- Department of Biostatistics, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
5- Department of Psychology, University of Guilan, Rasht, Iran; rezaei_psy@hotmail.com
6- School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
Abstract: (3518 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.
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.
Type of Study: Research |
Subject:
Special
Received: 2017/07/28 | Accepted: 2017/07/28 | Published: 2017/07/28
Received: 2017/07/28 | Accepted: 2017/07/28 | Published: 2017/07/28
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Articles Copyright © The Author(s).
Owned by Guilan University of Medical Sciences.
Co-published by Negah Institute for Scientific Communication.
Contact Information
Caspian Journal of Neurological Sciences
Guilan University of Medical Sciences
University Tel : +9813 3333 0939
E-mail: cjnsgums@gmail.com, cjns@gums.ac.ir
Owned by Guilan University of Medical Sciences.
Co-published by Negah Institute for Scientific Communication.
Contact Information
Caspian Journal of Neurological Sciences
Guilan University of Medical Sciences
University Tel : +9813 3333 0939
E-mail: cjnsgums@gmail.com, cjns@gums.ac.ir
