Prevalence of CMMSE defined cognitive impairment among peritoneal dialysis patients and its impact on peritonitis
| Autor: | Leung-Wing Chu, Ming Yee Maggie Mok, Tak Mao Chan, Mi Suen Connie Lee, Man-Fai Lam, Wai Kei Lo, Yat Fung Shea, Terence P.S. Yip, Sing Leung Lui |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Nephrology China medicine.medical_specialty Demographics Physiology medicine.medical_treatment 030232 urology & nephrology Patient characteristics Peritonitis Comorbidity 030204 cardiovascular system & hematology Peritoneal dialysis 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Risk Factors Physiology (medical) Internal medicine Odds Ratio Prevalence medicine Humans Prospective Studies Risk factor Cognitive impairment Aged Aged 80 and over Psychiatric Status Rating Scales Chi-Square Distribution business.industry Age Factors Middle Aged medicine.disease Self Care Logistic Models Treatment Outcome Multivariate Analysis Female Kidney Diseases Cognition Disorders Blood parameters business Peritoneal Dialysis |
| Zdroj: | Clinical and Experimental Nephrology. 20:126-133 |
| ISSN: | 1437-7799 1342-1751 |
| Popis: | Peritoneal dialysis (PD) exchange procedure is complex. Patients with cognitive impairment (CI) may require assistance. We studied the prevalence of CI among PD patients, its impact on PD-related peritonitis and the outcome of assisted PD. Cantonese version of Mini-Mental State examination (CMMSE) was performed in 151 patients newly started on PD. Data on patient characteristics including demographics, co-morbidities, blood parameters, medications, and number of PD-related peritonitis in the first 6 months were collected. 151 subjects were recruited. The age of studied patients was 60 ± 15.0 years, and 45 % were female. The prevalence of CI was 13.9 % using education-adjusted cut-off of CMMSE. Patients older than 65-year-old, female, and lower education level were independent risk factors for CI (OR 9.27 p = 0.001, OR 14.84 p = 0.005, and OR 6.10 p = 0.009, respectively). Age greater than 65-year old is an independent risk factor for PD-related peritonitis but CI was not. Patients requiring assisted PD were of older age (p |
| Databáze: | OpenAIRE |
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