期刊
NEPHRON CLINICAL PRACTICE
卷 116, 期 3, 页码 C247-C255出版社
KARGER
DOI: 10.1159/000317206
关键词
Cognition; Mild cognitive impairment; Cerebrovascular disease; Chronic kidney disease; Hemodialysis
资金
- VA VISN 3 Seed Grant Program
- VARRD CDA 2 [B5050W]
- VARR& D Center of Excellence [B4162C]
- NIH/NIA [P50AG005138]
- NATIONAL INSTITUTE ON AGING [P50AG005138] Funding Source: NIH RePORTER
Background/Aims: The high risk and prevalence of dementia among patients with chronic kidney disease (CKD) and in those receiving hemodialysis (HD) may be preceded by mild cognitive impairment (MCI). We aimed to assess cognitive function in CKD and HD patients with no history of stroke or dementia, in order to identify and characterize early cognitive deficits. Methods: 24 CKD and 27 HD male outpatients without history of cerebrovascular or neurodegenerative disease underwent comprehensive neuropsychological testing in an observational cross-sectional study. Test results were used to categorize patients into MCI subtypes. Results: All subjects scored >= 28 on the Mini-Mental State Examination. The prevalence of executive function was at least 25% in both groups and memory impairment occurred in 13% of the HD patients and 15% of those with CKD. MCI occurred in 76% of the group and HD patients showed a higher prevalence of MCI compared to CKD patients (89 vs. 63%) with a preponderance (> 70%) of cases across both groups classified as non-amnestic MCI. Conclusion: Predialysis CKD and HD patients have a high prevalence of MCI despite normal global cognitive function. MCI was more prevalent among the HD patients and deficits more frequently resulted in non-amnestic MCI. Copyright (C) 2010 S. Karger AG, Basel
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