影响慢性肾病儿童神经认知功能的因素:系统综述。

IF 2.1 Q2 UROLOGY & NEPHROLOGY International Journal of Nephrology and Renovascular Disease Pub Date : 2022-10-28 eCollection Date: 2022-01-01 DOI:10.2147/IJNRD.S375242
Elrika A Wijaya, Purboyo Solek, Dzulfikar D L Hakim, Rini Rossanti, Ahmedz Widiasta, Dany Hilmanto
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引用次数: 0

摘要

目的:在儿童中,慢性肾脏疾病(CKD)已经知道会影响神经认知功能,从而损害生活质量。本研究旨在确定可能影响儿童慢性肾病患者神经认知功能的因素和治疗方式。患者和方法:根据PRISMA指南,使用PubMed、ScienceDirect、SpringerLink 3个电子数据库进行系统评价。我们的综述纳入了过去10年(2011-2021年)发表的关于0-18岁CKD儿童的英文文章。评估影响儿童神经认知功能的因素。结果:本研究共纳入8篇文章。三篇文章报道了父母教育,尤其是母亲教育对CKD患儿神经认知功能的影响。在治疗方式方面,一般来说,接受肾脏移植的CKD儿童有更好的神经认知结果。血液透析(HD)持续时间越长,神经认知结果越差。其他影响神经认知功能的因素包括抑郁、异常出生史、癫痫发作和高血压。结论:儿童慢性肾病可能通过多种复杂且相互关联的机制导致神经认知功能障碍。需要进一步的研究来确定神经认知障碍的机制和预防,以及治疗方式的最佳选择,以改善CKD患儿的肾功能和神经认知功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Factors Affecting Neurocognitive Function in Children with Chronic Kidney Disease: A Systematic Review.

Purpose: In children, chronic kidney disease (CKD) has been known to affect neurocognitive function which can impair the quality of life. This study aims to determine the factors and treatment modalities which might affect neurocognitive function in pediatric population with CKD.

Patients and methods: A systematic review was done using 3 electronic databases: PubMed, ScienceDirect, SpringerLink, and carried out based on PRISMA guidelines. Our review included articles published in the last 10 years (2011-2021) in English, on children aged 0-18 years with CKD. Factors affecting the children's neurocognitive function were assessed.

Results: Eight articles were included in this study. Three articles reported that parent's education, especially maternal education affect the neurocognitive function of children with CKD. In relation with modalities, in general, children with CKD who had kidney transplant had a better neurocognitive outcome. A longer duration of hemodialysis (HD) was associated with poorer neurocognitive outcomes. Other factors that can affect the neurocognitive function included depression, a history of abnormal births, seizures, and hypertension.

Conclusion: In children, CKD might cause neurocognitive function disorders through various complex and interconnected mechanisms. Further studies are needed to determine the mechanism and prevention of neurocognitive disorders, as well as the best choice of therapeutic modality to improve both kidney function and neurocognitive function in children with CKD.

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来源期刊
CiteScore
3.90
自引率
5.00%
发文量
40
审稿时长
16 weeks
期刊介绍: International Journal of Nephrology and Renovascular Disease is an international, peer-reviewed, open-access journal focusing on the pathophysiology of the kidney and vascular supply. Epidemiology, screening, diagnosis, and treatment interventions are covered as well as basic science, biochemical and immunological studies. In particular, emphasis will be given to: -Chronic kidney disease- Complications of renovascular disease- Imaging techniques- Renal hypertension- Renal cancer- Treatment including pharmacological and transplantation- Dialysis and treatment of complications of dialysis and renal disease- Quality of Life- Patient satisfaction and preference- Health economic evaluations. The journal welcomes submitted papers covering original research, basic science, clinical studies, reviews & evaluations, guidelines, expert opinion and commentary, case reports and extended reports. The main focus of the journal will be to publish research and clinical results in humans but preclinical, animal and in vitro studies will be published where they shed light on disease processes and potential new therapies and interventions.
期刊最新文献
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