Cognitive Impairment and Physical Dysfunction Associated With Unplanned Dialysis Initiation.

ABSTRACT:

Introduction

Unplanned dialysis initiation (UDI) is associated with poor outcomes and high medical costs. Although aging is a prominent risk factor for UDI, the roles of age-related factors such as cognitive impairment and physical dysfunction remain underexplored. This study aimed to clarify the associations of cognitive impairment and physical dysfunction with UDI and additional medical costs.

Methods

This study used a Japanese administrative claims database to analyze 79,850 patients aged ≥ 65 years (median age: 76 ys; 31.6% females) who began receiving dialysis. UDI was defined as starting dialysis with a temporary catheter. Physical function and cognitive impairment were classified based on mobility and daily living abilities. We assessed the association using logistic

SUBMITTER: Nakano Y 

PROVIDER: S-EPMC12266191 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature