Prevalence of cognitive dysfunction and its risk factors in children with chronic kidney disease in a developing country
Issued Date
2022-06-01
Resource Type
ISSN
0931041X
eISSN
1432198X
Scopus ID
2-s2.0-85118221173
Pubmed ID
34713357
Journal Title
Pediatric Nephrology
Volume
37
Issue
6
Start Page
1355
End Page
1364
Rights Holder(s)
SCOPUS
Bibliographic Citation
Pediatric Nephrology Vol.37 No.6 (2022) , 1355-1364
Suggested Citation
Viriyapak E., Chantaratin S., Sommai K., Sumboonnanonda A., Pattaragarn A., Supavekin S., Piyaphanee N., Lomjansook K., Chaiyapak T. Prevalence of cognitive dysfunction and its risk factors in children with chronic kidney disease in a developing country. Pediatric Nephrology Vol.37 No.6 (2022) , 1355-1364. 1364. doi:10.1007/s00467-021-05280-9 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/85857
Title
Prevalence of cognitive dysfunction and its risk factors in children with chronic kidney disease in a developing country
Author's Affiliation
Other Contributor(s)
Abstract
Background: Chronic kidney disease (CKD) is associated with cognitive dysfunction. Cognitive function in children with CKD residing in developing countries has not been previously reported. Methods: This cross-sectional study included children aged 6–18 years with CKD stages 2–5D and kidney transplant. Cognitive function was assessed by WISC-V for children from 6–16 years of age. In adolescents 17–18 years of age, WAIS-III was used. Factors associated with cognitive dysfunction were identified using multivariable regression analysis. Results: Thirty-seven children with median age 13.9 (11.3–15.7) years were recruited. The median full-scale intelligence quotient (FSIQ) was 83.0 (71.0–95.0). Below-average cognitive function (FSIQ <90) was identified in 24 children (64.8%), 24.3% of whom had cognitive impairment (FSIQ <70). Most children (94.6%) scored lower than average on at least 1 cognitive domain. Kidney replacement therapy (p = 0.03) and low family income (p = 0.02) were associated with below-average cognitive function in multivariable logistic regression analysis. Children who left school and low family income were significantly associated with cognitive function. The FSIQ of children who had left school was 12.94 points lower than the educated group (p = 0.046). In addition, every 10,000 Thai Baht (approximately 330 United States dollars) increase in family income correlated with 1.58 increase in FSIQ (p = 0.047). Conclusion: Cognitive dysfunction was commonly found in children with CKD. Socioeconomic factors, particularly school attendance and family income, were associated with cognitive dysfunction. Cognitive evaluation is suggested for children with CKD who have socioeconomic risk factors. Graphical abstract: “A higher resolution version of the Graphical abstract is available as Supplementary information.” [Figure not available: see fulltext.]