在移植患者的认知表现的查:一个迷你审查
Simeon Schietzel1, Reto W Kressig2, Uyen Huynh-Do1
1Division of Nephrology and Hypertension, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Frontiers in nephrology
|October 2, 2023
概括
认知障碍影响高达58%的移植接受者 (KTRs),增加风险. 医疗保健专业人员的早期查对于更好的患者管理和结果至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 神经科学是一个神经科学.
- 老年学是一门学科.
背景情况:
- 认知障碍在移植接受者 (KTRs) 中普遍存在,影响高达58%.
- 这种损伤与10年内更高的移植损失率 (超过30%) 和死亡率 (超过50%) 有关.
- 在KTR中,执行功能障碍与不良结果有关.
研究的目的:
- 审查KTR中认知障碍的患病率,危险因素和后果.
- 讨论在这个人群中有效查策略的要求.
- 为认知查后提供适当和安全护理的指导.
主要方法:
- 文献综述总结了关于KTRs认知障碍的数据.
- 讨论多因素原因,包括心血管,脑血管,神经退行和尿素因素.
- 强调需要对轻度障碍和执行功能敏感的多领域查测试的需要.
主要成果:
- 老年和慢性病是显著的危险因素.
- 原因是多因素的,包括各种生理和生活方式相关的易感性.
- 目前还缺乏经过验证的KTR特定查仪器.
结论:
- 在KTR中查认知障碍是必不可少的,即使没有特定的验证工具.
- 建议进行多领域查,包括患者和告知者的观点.
- 查有助于及时干预,改善坚持,预测并发症,并减少护理人员的负担.
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