Study of Cognitive Impairment and Depression in end Stage Renal Disease (Esrd) Patients

Abstract

Aim: to study in cognitive impairment and depression in cases of end stage renal disease. Material and method: this cross sectional study was done in AVBR hospital, a teaching tertiary care hospital in wardha district of central india. Forty patients of ESRD on dialysis and 30 control were studied. Mini cog and Ham-D tests were implemented for detection of cognitive impairment and depression among them. Results : In our study 26(65%) were males and 14(35%) were females. Cognitive impairment was prevalent in ESRD patients(2.75±1.40/4.20±0.71) (p=0.0001)as compared to the controls. The proportion of depression in ESRD patients was significantly higher than the controls, (15.55±3.10/3.46±1.65) (p = 0.0001). Conclusion : Cognitive impairment and depression are common accompaniments in ESRD patients. Studies have proved that they significantly affect the disease outcome, morbitdity and mortality. Etiology is multifactorial and these additional burden should be recognised and treated appropriately with a multidisciplinary teamwork involving nephrologist, neurologit,physician, psychiatrist and clinical psychologist.