File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Self-Care Peritoneal Dialysis Patients with Cognitive Impairment Have a Higher Risk of Peritonitis in the Second Year

TitleSelf-Care Peritoneal Dialysis Patients with Cognitive Impairment Have a Higher Risk of Peritonitis in the Second Year
Authors
KeywordsNeurocognitive disorder
Peritoneal dialysis-related peritonitis
Cognitive defect
Cohort analysis
Continuous ambulatory peritoneal dialysis
Issue Date2019
PublisherMultimed, Inc. The Journal's web site is located at http://pdiconnect.com
Citation
Peritoneal Dialysis International, 2019, v. 39 n. 1, p. 51-58 How to Cite?
AbstractIntroduction: Cognitive impairment is common among patients on peritoneal dialysis (PD). We hypothesize that cognitive impairment has a negative impact on the outcome of patients on PD, especially with regard to peritonitis. Methods: This was a single-center 2-year prospective cohort study involving 206 patients at 1 PD unit. Cognitive impairment was defined by the latest Hong Kong Montreal Cognitive Assessment Score (HK-MoCA) multiple cut-offs as determined by age and years of education. Eighty percent of patients had come back for interval HK-MoCA. The HK-MoCA was performed at baseline and after 1 year on PD. Potential risk factors for cognitive impairment and peritonitis were studied separately for the first and second year. Results: For cognitive impairment at baseline, multivariate analyses showed that age (odds ratio [OR] 1.003, 95% confidence interval [CI] 1.003 – 1.065, p = 0.03), female sex (OR 3.57, 95% CI 1.60 – 7.97, p = 0.002), peripheral vascular disease (PVD) (OR 3.46, 95% CI 1.33 – 9.01, p = 0.01), and hemoglobin level (OR 0.60, 95% CI 0.43 – 0.84, p = 0.003) were statistically significant factors. For cognitive impairment at 1 year, multivariate analyses showed that age (OR 1.07, 95% CI 1.02 – 1.012, p = 0.007), female sex (OR 5.87, 95% CI 1.86 – 18.5, p = 0.003), and PVD (OR 3.68, 95% CI 1.07 – 12.84, p = 0.04) were statistically significant independent factors for cognitive impairment at 1 year.
Persistent Identifierhttp://hdl.handle.net/10722/273423
ISSN
2019 Impact Factor: 1.768
2015 SCImago Journal Rankings: 0.683

 

DC FieldValueLanguage
dc.contributor.authorShea, YF-
dc.contributor.authorLee, MSC-
dc.contributor.authorMok, MYM-
dc.contributor.authorLam, MF-
dc.contributor.authorChu, LW-
dc.contributor.authorChan, FHW-
dc.contributor.authorChan, TM-
dc.date.accessioned2019-08-06T09:28:40Z-
dc.date.available2019-08-06T09:28:40Z-
dc.date.issued2019-
dc.identifier.citationPeritoneal Dialysis International, 2019, v. 39 n. 1, p. 51-58-
dc.identifier.issn0896-8608-
dc.identifier.urihttp://hdl.handle.net/10722/273423-
dc.description.abstractIntroduction: Cognitive impairment is common among patients on peritoneal dialysis (PD). We hypothesize that cognitive impairment has a negative impact on the outcome of patients on PD, especially with regard to peritonitis. Methods: This was a single-center 2-year prospective cohort study involving 206 patients at 1 PD unit. Cognitive impairment was defined by the latest Hong Kong Montreal Cognitive Assessment Score (HK-MoCA) multiple cut-offs as determined by age and years of education. Eighty percent of patients had come back for interval HK-MoCA. The HK-MoCA was performed at baseline and after 1 year on PD. Potential risk factors for cognitive impairment and peritonitis were studied separately for the first and second year. Results: For cognitive impairment at baseline, multivariate analyses showed that age (odds ratio [OR] 1.003, 95% confidence interval [CI] 1.003 – 1.065, p = 0.03), female sex (OR 3.57, 95% CI 1.60 – 7.97, p = 0.002), peripheral vascular disease (PVD) (OR 3.46, 95% CI 1.33 – 9.01, p = 0.01), and hemoglobin level (OR 0.60, 95% CI 0.43 – 0.84, p = 0.003) were statistically significant factors. For cognitive impairment at 1 year, multivariate analyses showed that age (OR 1.07, 95% CI 1.02 – 1.012, p = 0.007), female sex (OR 5.87, 95% CI 1.86 – 18.5, p = 0.003), and PVD (OR 3.68, 95% CI 1.07 – 12.84, p = 0.04) were statistically significant independent factors for cognitive impairment at 1 year.-
dc.languageeng-
dc.publisherMultimed, Inc. The Journal's web site is located at http://pdiconnect.com-
dc.relation.ispartofPeritoneal Dialysis International-
dc.subjectNeurocognitive disorder-
dc.subjectPeritoneal dialysis-related peritonitis-
dc.subjectCognitive defect-
dc.subjectCohort analysis-
dc.subjectContinuous ambulatory peritoneal dialysis-
dc.titleSelf-Care Peritoneal Dialysis Patients with Cognitive Impairment Have a Higher Risk of Peritonitis in the Second Year-
dc.typeArticle-
dc.identifier.emailShea, YF: yfshea@hku.hk-
dc.identifier.emailMok, MYM: mmymok@hku.hk-
dc.identifier.emailLam, MF: feimflam@hku.hk-
dc.identifier.emailChu, LW: lwchu@hkucc.hku.hk-
dc.identifier.emailChan, FHW: fchanhw@hku.hk-
dc.identifier.emailChan, TM: dtmchan@hkucc.hku.hk-
dc.identifier.authorityChan, TM=rp00394-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.3747/pdi.2018.00048-
dc.identifier.pmid30087176-
dc.identifier.scopuseid_2-s2.0-85060624081-
dc.identifier.hkuros300445-
dc.identifier.volume39-
dc.identifier.issue1-
dc.identifier.spage51-
dc.identifier.epage58-
dc.publisher.placeCanada-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats