Progression of cognitive impairment in hemodialysis patients

Objective: Cognitive impairment increases the risk of mortality in patients with chronic kidney disease. Progressive cognitive decline can be a serious issue for hemodialysis (HD) patients even if they are young with few comorbid conditions. The aim of this prospective study is to evaluate HD patients using Montreal Cognitive Assessment (MoCA) and search for the signs of cognitive decline using cognitive domain scores. Method: Twenty-nine chronic HD patients were selected. All patients were tested with MoCA at baseline and after the two-years follow-up. Patients with heart failure, dementia, depression, visual disturbance, malignancy, active infections and, those with single-pool Kt/V