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dc.contributor.authorNicholas, P
dc.contributor.authorGreen, T
dc.contributor.authorPurtell, L
dc.contributor.authorBonner, A
dc.date.accessioned2021-07-14T23:56:49Z
dc.date.available2021-07-14T23:56:49Z
dc.date.issued2021
dc.identifier.issn1755-6678
dc.identifier.doi10.1111/jorc.12393
dc.identifier.urihttp://hdl.handle.net/10072/405954
dc.description.abstractBackground: Little is known of the prevalence or associated factors of cognitive impairment in people with kidney failure. Assessment of cognition is necessary to inform comprehension of healthcare information, aptitude for dialysis modality and informed decision making. Objectives: This study sought to determine the prevalence and factors associated with cognitive impairment in people with kidney failure. Design: Prospective cross-sectional. Participants: Participants (n = 222) with chronic kidney disease grade 5 (CKD G5) including those not treated with dialysis, those undertaking dialysis independently or in a facility (CKD 5D), and those with a kidney transplant (CKD 5T). Measurements: Data were collected using the Montreal Cognitive Assessment tool, the Hospital Anxiety and Depression Scale (only the depression subscale), and a demographic questionnaire. Type of kidney disease and comorbidities were extracted from participants' hospital records. Results: Participants were 61 ± 13.63 years old; most were male (61.26%), and diabetes was the primary cause of kidney disease (34%). Prevalence of cognitive impairment was 34% although it was significantly higher for those in CKD G5 compared with other groups. A number of factors were found to be associated with cognitive impairment including, age, diabetes, hypertension, education, haemoglobin, albumin, parathyroid hormone, CKD G5, and length of time on treatment. Conclusions: Cognitive impairment in kidney failure is common and it has significant implications for informed decision making and treatment choices. Routine assessment of cognitive function is an important part of clinical practice.
dc.description.peerreviewedYes
dc.languageen
dc.publisherWiley
dc.relation.ispartofjournalJournal of Renal Care
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.titleA cross-sectional study exploring cognitive impairment in kidney failure
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationNicholas, P; Green, T; Purtell, L; Bonner, A, A cross-sectional study exploring cognitive impairment in kidney failure, Journal of Renal Care, 2021
dc.date.updated2021-07-12T22:23:53Z
gro.description.notepublicThis publication has been entered as an advanced online version in Griffith Research Online.
gro.hasfulltextNo Full Text
gro.griffith.authorBonner, Ann J.


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