A scoring system to assess the risk of dementia in patients with dialysis

Takeaway

  • The scoring system described could be useful in identifying the risk of dementia in patients undergoing dialysis, helping healthcare professionals determine whether comprehensive neurocognitive tests are required.

Why this matters

  • Patients with chronic kidney disease (CKD) are vulnerable to a range of neurological disorders, including dementia.

  • The kidneys and the brain share similar microvascular structures, making both susceptible to vascular injury.

  • If patients are on dialysis, there is a moderate to severe risk of cognitive impairment.

  • However, most nephrologists and dialysis staff do not recognize cognitive changes in patients with CKD, suggesting that a scoring system may be useful to identify the risk of dementia in patients undergoing dialysis.