Affiliation:
1. Yunnan University of Traditional Chinese Medicine
2. Yunnan Provincial Hospital of Traditional Chinese Medicine
Abstract
Abstract
Objective:To investigate the prevalence and influencing factors.
Methods: CNKI, VIP, Wanfang Data Knowledge Service platform(Wanfang), China Biomedical Literature Database (CBM), PubMed, Embase, Cochrane Library, Web of Science were searched. Cross-sectional studies, case-control studies, and cohort studies on factors influencing cognitive frality in maintenance hemodialysis patients were collected and published between 2000 and October 2023. Two researchers independently screened literature and extracted data to evaluate the literature quality of the included studies. Stata15.0 software was used to conduct a meta-analysis on the prevalence and influencing factors of cognitive frailty in maintenance hemodialysis patients in China.
Results: A total of 10 literatures on cognitive frailty were included in this study, including 659 patients with cognitive frailty, involving 25 influencing factors. The results of meta-analysis showed that the prevalence of cognitive frailty in maintenance hemodialysis patients in China was 25.6% (95%CI:21%~30.3%). Age (OR=0.542,95%CI (0.294, 0.789), P<0.001), education level (OR=-1.556,95%CI (-2.113, -1.000), P<0.001), comorbidities (OR=0.909,95%CI (0.295, 1.524), P=0.004], stroke history (OR=1.046, 95%CI (0.509, 1.5834), P<0.001) were the influential factors for cognitive frailty in maintenance hemodialysis patients in China.
Conclusion: The prevalence rate of cognitive frailty in maintenance hemodialysis patients in China is high (25.6%), and age, educational level, comorbidities and stroke history are the influencing factors of cognitive frailty in maintenance hemodialysis patients in China.
Publisher
Research Square Platform LLC
Reference73 articles.
1. Ambulatory Hemodialysis-Technology Landscape and Potential for Patient-Centered Treatment;Hojs N;Clin J Am Soc Nephrology: CJASN,2020
2. Chronic kidney disease-related physical frailty and cognitive impairment: a systemic review;Shen Z;Geriatr Gerontol Int,2017
3. The prevalence of frailty in patients on hemodialysis: a systematic review and meta-analysis;Zhao Y;Int Urol Nephrol,2020
4. Screening of Cognitive Impairment in the Dialysis Population: A Scoping Review. Dementia and geriatric cognitive disorders;San A,2017
5. Kelaiditi E, Cesari M, Canevelli M, van Kan GA, Ousset PJ, Gillette-Guyonnet S et al. Cognitive frailty: rational and definition from an (I.A.N.A./I.A.G.G.) international consensus group. The journal of nutrition, health & aging. 2013;17(9),726–734.