A STUDY ON ANALYSIS OF COGNITIVE FUNCTION IN SHORT TERM AND LONG-TERM HEMODIALYSIS PATIENT

Chronic Kidney Disease (CKD) poses a significant burden on global healthcare systems, with dialysis being a cornerstone treatment for end-stage renal disease (ESRD). While dialysis the Quality of life , it is associated with various complications, including cognitive impairment. This study aims to comprehensively analyze cognitive function in short term and long-term dialysis patients.

Methods: The present study included 200 dialysis including short term and long-term patients. Parameters such as Duration of dialysis, Number of hemodialysis, Hemoglobulin, TSAT, Serum Ferritin level, and diagnosis. Questionnaire are used such as, Montreal cognitive assessment, missoloula-vitas quality of life index.

Results: The current study is aimed to compare cognitive function in long term and short term dialysis in the dialysis unit 200 patients has participated in analysis of cognitive function in long term and short term dialysis. The study has divided two groups named as short term dialysis (less than 1 year) about 70 patients and Long term dialysis (more than 1 year) about 130 patients.

The data parameters were       collected including, diagnosis, duration of                  dialysis   ,Number   of  Dialysis medications, Blood ,pressure, Hb, TSAT, Serum ferritin, EPO administration. The analysis of Cognitive functions was expressed as 2questionnaires. The  Mild cognitive analysis tool includes  MONTREAL COGNITIVE  ASSESEMENT,whichincludesVisuospatial,Executive,Naming,Memory,Attention,Delayed recall,Orientation.,83% patients scored Above 26 and 17% patients scored below 26.Group A n=65,Mean 22.49,std .deviation 4.580 and St. Error Mean .568 whereas, Group B n=66,mean 23.17 ,St. Deviation 5.374 and St. Error mean.661.Indepentent sample test performed,for Equal variances assumed Lower -2.402 and upper 1.053and Equal Variances not assumed upper -2.400 and  upper 1.051. P Valve- ( P <0.0002) Respectively  Conclusion : The current study concludes the duration or frequency of dialysis will not affect the cognitive function of dialysis patients. Thus, cognitive function can be improved by frequent analysis by using MOCA assessment tool, Nutritional assessment and psychological status can be monitored every month.