臨牀透析 Vol.27 No.8(2-1)


特集名 慢性腎臓病(CKD)と認知症
題名 [各論― CKDにおける認知症]CKD5(HD)における認知症の統計調査
発刊年月 2011年 07月
著者 中井 滋 藤田保健衛生大学医療科学部臨床工学科
【 要旨 】 日本透析医学会は年に1回,全国の透析施設を対象に透析患者に関する疫学調査を行っている.2009年末に実施されたこの調査では,認知症の有無について調査された.認知症の有無について回答のあった施設血液透析患者204,540人のうち,認知症があると回答された患者は21,048人(10.3%)であった.性別と年齢別に集計した結果,男性よりも女性において認知症有病率は高く,また加齢とともに認知症有病率は増大していた.糖尿病患者の認知症有病率は非糖尿病患者よりも高く,脳血管障害がある患者の認知症有病率は,これがない患者よりも高い値を示した.
Theme Dementia in Patients with Chronic Kidney Disease
Title Statistical study of dementia in hemodialysis patients with stage 5 chronic kidney disease (CKD5)
Author Shigeru Nakai Faculty of Clinical Engineering, School of Health Science, Fujita Health University
[ Summary ] The Japanese Society for Dialysis Therapy conducts an annual epidemiological study of hemodialysis patients, targeting dialysis facilities across the country. The presence or absence of dementia in these patients was examined in a study conducted at the end of 2009. Among the 204,540 patients who underwent hemodialysis at the facilities which responded to the questionnaire, 21,048 patients (10.3 %) had dementia. A comparison of data between gender groups, age groups, and those with complications from diseases indicates the following : (1) the prevalence of dementia among female patients is higher than that observed in male patients, (2) prevalence increases with age, (3) dementia prevalence rates in patients with diabetes are higher than those of the general population, and (4) the prevalence of dementia in patients with cerebral vascular disease is higher than that observed in those without cerebral vascular disease.
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