PREVALENCE OF COGNITIVE IMPAIRMENT AMONG PERITONEAL DIALYSIS XXXX , IMPACT ON PERITONITIS AND ROLE OF ASSISTED DIALYSIS.

@entity1 @entity73 @entity177 @entity13198 @entity298
UNASSIGNED:     Background: @entity177 and aging are suggested as risk factors for @entity73 ( @entity13198 ). We studied the prevalence of @entity13198 among @entity298 ( @entity298 ) @entity1 using Montreal Cognitive Assessment (MoCA), its impact on @entity298 in the first year, and the potential role of assisted @entity298 .     Methods: One hundred fourteen @entity1 were newly started on @entity298 between February 2011 and July 2013. Montreal Cognitive Assessment was performed in the absence of acute illness. Data on @entity1 characteristics including demographics, comorbidities, blood parameters, dialysis adequacy, presence of helpers, medications, and the number @entity298 -related infections were collected.     Results: The age of studied @entity1 was 59  15.0 years, and 47% were female. The prevalence of @entity13198 was 28.9%. @entity1 older than 65 years old (odds ratio [OR] 4.88, @entity13198 [ @entity13198 ] 1.79 - 13.28 p = 0.002) and with an education of primary level or below (OR 4.08, @entity13198 1.30 - 12.81, p = 0.016) were independent risk factors for @entity13198 in multivariate analysis. @entity1 with @entity298 were significantly older (p < 0.001) and more likely to have @entity13198 as defined by MoCA (p = 0.035). After adjustment for age, however, @entity13198 was not a significant independent risk factor for @entity298 among self-care @entity298 @entity1 (OR 2.20, @entity13198 0.65- 7.44, p = 0.20). When we compared @entity1 with MoCA-defined @entity13198 receiving self-care and assisted @entity298 , there were no statistically significant differences between the 2 groups in terms of age, MoCA scores, or comorbidities. There were also no statistically significant differences in 1-year outcome of @entity298 rates or exit-site infections.     Conclusion: @entity73 is common among local @entity298 @entity1 . Even with @entity13198 , @entity298 rate in self-care @entity298 with adequate training is similar to @entity13198 @entity1 on assisted @entity298 .
