Risk factors for cognitive impairment in hemodialysis patients include traditional factors, dialysis-related factors, and nontraditional factors.
Systematic Review
Cognitive impairment in hemodialysis patients is driven by traditional, dialysis-related, and non-traditional risk factors, highlighting the need for specific approaches targeting hemodialysis parameters.
(1) Background: Cognitive impairment (CI) is common in chronic kidney disease (CKD) and patients treated with hemodialysis. (2) Methods: The systematic review was prepared following the PRISMA statement (2013). The biomedical electronic databases MEDLINE and SCOPUS were searched. (3) Results: out of 1093 studies, only 30, which met problem and population criteria, were included in this review. The risk factors for CI can be divided into three groups: traditional risk factors (present in the general population), factors related to dialysis sessions, and nontraditional risk factors occurring more frequently in the HD group. (4) Conclusions: the methods of counteracting CI effective in the general population should also be effective in HD patients. However, there is a need to develop unique anti-CI approaches targeting specific HD risk factors, i.e., modified hemodialysis parameters stabilizing cerebral saturation and blood flow.
Olczyk et al. (Fri,) conducted a systematic review in End Stage Renal Disease with Cognitive Impairment. Risk factors for cognitive impairment was evaluated on Risk factors for cognitive impairment. Risk factors for cognitive impairment in hemodialysis patients include traditional factors, dialysis-related factors, and nontraditional factors.
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