Deterioro cognitivo y calidad de vida del adulto mayor con tratamiento sustitutivo de la funcion renal
Introduction: Cognitive impairment is strongly associated with cardiovascular risk factors. Chronic kidney disease, especially those that have progressed to stage 5 and require renal replacement therapy such as hemodialysis, are now considered a cardiovascular risk factor. Objective: Determine the prevalence of cognitive impairment in older adults with chronic renal failure and renal replacement therapy and its relationship with quality of life. Methods: An observational, analytical and cross sectional study was carried out involving 30 patients with 60 years of age from the nephrology department of Dr. Carlos J. Finlay Clinical Surgical Teaching Hospital These subjects had treatment of hemodialysis and peritoneal dialysis. To establish cognitive impairment, the minimental test was used with a value of less than 23 points; the quality of life was assessed using the Karnofsky index. Pearson's chi square test was used to determine the relationship between qualitative variables and the relative risk (RR) test was used to determine the degree of association between the associated variables. Results: Cognitive impairment was found in 16.6% of the patients; 80% were related to poor quality of life (X2 4.0, p 0.046, RR 2.5 ICI 1.22, ICS 5.14) Conclusions: High prevalence of cognitive impairment was found in the group of patients studied and it was related to poor quality of life.