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Updated: Feb 19, 2026
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Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
Published on: October 2, 2020
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Asociación entre funciones cognitivas y físicas en pacientes en hemodiálisis
Yu Shimano1,2, Masakazu Saitoh2,3, Hiroshi Matsuura1
1Department of Rehabilitation, Saiyu Clinic, Saitama, Japan.
Nephrology (Carlton, Vic.)
|February 17, 2026
Resumen
El deterioro cognitivo (DC) y el deterioro cognitivo leve (DCL) son comunes en pacientes en hemodiálisis. El deterioro cognitivo impacta significativamente la función física, a diferencia del deterioro cognitivo leve.
Área de la Ciencia:
- Nefrología
- Neurología
- Geriatría
Sus antecedentes:
- El deterioro cognitivo es una preocupación creciente en los pacientes en hemodiálisis (HD).
- Comprender la prevalencia y el impacto del declive cognitivo en pacientes en HD es crucial para mejorar los resultados de los pacientes.
Objetivo del estudio:
- Determinar la prevalencia de deterioro cognitivo leve (DCL) y deterioro cognitivo (DC) en pacientes en hemodiálisis (HD).
- Identificar las características de la función física asociadas con el DCL y el DC en pacientes en HD.
Principales métodos:
- Un estudio transversal que involucró a 147 pacientes ambulatorios en HD.
- Función cognitiva evaluada mediante la Montreal Cognitive Assessment (MoCA-J) para DCL y el Mini-Mental State Examination (MMSE) para DC.
- Pacientes categorizados en grupos normal, DCL y DC; función física comparada mediante análisis multivariante.
Principales resultados:
- Tasas de prevalencia: 40% para DCL y 26% para DC en pacientes en HD.
- Los pacientes con DC mostraron una función física significativamente menor (fuerza de agarre, Batería Corta de Rendimiento Físico, velocidad de la marcha) en comparación con los grupos normal y DCL.
- No se encontraron diferencias significativas en la función física entre los grupos normal y DCL.
Conclusiones:
- El deterioro cognitivo leve y el deterioro cognitivo son altamente prevalentes en la población en hemodiálisis.
- El deterioro cognitivo está fuertemente asociado con una marcada disminución de la función física en pacientes en HD.
- Se necesita más investigación para explorar intervenciones dirigidas a la función cognitiva y física en este grupo vulnerable.
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