Volume : 11, Issue : 03, March – 2024

Title:

A STUDY ON ANALYSIS OF COGNITIVE FUNCTION IN SHORT-TERM AND LONG-TERM HEMODIALYSIS PATIENT

Authors :

G.Pravinkumar

Abstract :

Chronic Kidney Disease (CKD) poses a significant burden on global healthcare systems, with dialysis being a cornerstone treatment for end-stage renal disease (ESRD). While dialysis the Quality of life , it is associated with various complications, including cognitive impairment. This study aims to comprehensively analyze cognitive function in short term and long-term dialysis patients.
Methods: The present study included 200 dialysis including short term and long-term patients. Parameters such as Duration of dialysis, Number of hemodialysis, Hemoglobulin, TSAT, Serum Ferritin level, and diagnosis. Questionnaire are used such as, Montreal cognitive assessment, missoloula-vitas quality of life index.
Results: The current study is aimed to compare cognitive function in long term and short term dialysis in the dialysis unit 200 patients has participated in analysis of cognitive function in long term and short term dialysis. The study has divided two groups named as short term dialysis (less than 1 year) about 70 patients and Long term dialysis (more than 1 year) about 130 patients.
The data parameters were collected including, diagnosis, duration of dialysis ,Number of Dialysis medications, Blood ,pressure, Hb, TSAT, Serum ferritin, EPO administration. The analysis of Cognitive functions was expressed as 2questionnaires. The Mild cognitive analysis tool includes MONTREAL COGNITIVE ASSESEMENT,whichincludesVisuospatial,Executive,Naming,Memory,Attention,Delayed recall,Orientation.,83% patients scored Above 26 and 17% patients scored below 26.Group A n=65,Mean 22.49,std .deviation 4.580 and St. Error Mean .568 whereas, Group B n=66,mean 23.17 ,St. Deviation 5.374 and St. Error mean.661.Indepentent sample test performed,for Equal variances assumed Lower -2.402 and upper 1.053and Equal Variances not assumed upper -2.400 and upper 1.051. P Valve- ( P <0.0002) Respectively Conclusion : The current study concludes the duration or frequency of dialysis will not affect the cognitive function of dialysis patients. Thus, cognitive function can be improved by frequent analysis by using MOCA assessment tool, Nutritional assessment and psychological status can be monitored every month.

Cite This Article:

Please cite this article in press G.Pravinkumar, A Study On Analysis Of Cognitive Function In Short Term And Long-Term Hemodialysis Patient., Indo Am. J. P. Sci, 2024; 11 (03).

Number of Downloads : 10

References:

1. Cognitive Impairment in Dialysis Patients: Focus on the Blood VesselsStephen L. Seliger, MD, MS and Daniel E. Weiner, MD, MS
2. Cognitive impairment in the aging dialysis and chronic kidney disease populations: an occult burden Anne M Murray 1 Affiliations PMID: 18334236PMCID: PMC2504691 DOI: 10.1053/j.ackd.2008.01.
3. Cognitive performance in dialysis patients – “when is the right time to test?”HristosKarakizlis, Stefanie Thiele, Brandon Greene&Joachim Hoyer , BMC Nephrology volume 22, Article number: 205 (2021)
4. Cognitive impairment and associated risk factors in older adult hemodialysis patients: a cross-sectional surveyYang Luo, Anne M. Murray, Yi-Dan Guo, Ru Tian, Peng-Peng Ye, Xin Li Guo-Gang LiFang-Ping Lu,
5. Prevalence and patterns of cognitive impairment in adult hemodialysis patients: the COGNITIVE-HD study -Anita van Zwieten, Germaine Wong, MarinellaRuospo, Suetonia C Palmer, Maria Rosaria Barulli, Annalisa Iurillo, Valeria Saglimbene, Patrizia Natale, Letizia Gargano, Marco Murgo.
6. Cognitive impairment in hemodialysis patients: What can slow this decline?panelMiteshPatelIndranilDasguptaGeorgeTadrosJyotiBaharani
7. Cognitive Impairment and Mortality in Patients Receiving Hemodialysis: Implications and Future Research Avenues-Katharine L. Cheung,Michael A. LaMantia
8. Cognitive impairment in hemodialysis patients is common-A. M. Murray, D. E. Tupper, D. S. Knopman, D. T. Gilbertson, S. L. Pederson, S. Li, G. E. Smith, A. K. Hochhalter, A. J. Collins, R. L. KaneFirst published July 24, 2006, DOI: https://doi.org/10.1212/01.wnl.0000225182.15532.40
9. Chronic Kidney Disease: Cognitive Dysfunction in Chronic Kidney Disease – Mark Unruh
10. Cognitive function in dialysispatients,Arema A. Pereira, MD ,Daniel E. Weiner, MD Tammy Scott, PhD ,Mark J. Sarnak, MD Published:January 13, 2005DOI:https://doi.org/10.1053/j.ajkd.2004.10.024
11. Cognitive Disorders and Dementia in CKD: The Neglected Kidney-Brain AxisJean-Marc Bugnicourt, Olivier Godefroy, Jean-Marc Chillon, Gabriel Choukroun and Ziad A. MassyJASN March 2013, 24 (3) 353-363; DOI: https://doi.org/10.1681/ASN.2012050536
12. Peritoneal dialysis is associated with better cognitive function than hemodialysis over a one year course-Denise Neyman –Kidney International
13. Cognitive impairment of patients with chronic renal disease on hemodialysis and its relationship with sociodemographic and clinical characteristics-Gabriela Dutra Gesualdo Juliana Gomes Duarte Marisa Silvana Zazzetta Luciana Kusumota Karina Gramani Say Sofia Cristina IostPavarini Fabiana de Souza Orlandi
14. Cognitive Impairment in Dialysis and Non-Dialysis Patients Suffering from Chronic Renal Failure and Comparing Them with a Control Group, Mohammad Reza Tamadon1, Ali Reza Adibimehr2, Raheb Ghorbani3
15. Cognitive Impairment and Associated Factors Among Chronic Kidney Disease Patients: A Comparative Cross-Sectional Study ,Gela YY , Getu AA, Adane A, Ayal BM, Akalu Y , Ambelu A, Diress M , Yeshaw Y