Ten Years Experience of In-Center Thrice Weekly Long Overnight Hemodialysis
| Autor: | Colin C. Geddes, Yook Mun Woo, Joanna R. Powell, Neal Padmanabhan, Oyeniran Oluwaseun, Eliyanachii Narasinghan, Carol Latta, Alan G. Jardine, Julie Tortolano |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Night Care medicine.medical_specialty Epidemiology Anemia medicine.drug_class medicine.medical_treatment Urea reduction ratio Arteriovenous fistula Blood Pressure Critical Care and Intensive Care Medicine Phosphates Hemoglobins Hyperphosphatemia Renal Dialysis Internal medicine medicine Humans Urea Erythropoietin Aged Transplantation business.industry Case-control study Middle Aged medicine.disease Surgery Phosphate binder stomatognathic diseases Blood pressure Patient Satisfaction Nephrology Case-Control Studies Kidney Failure Chronic Female Hemodialysis business Dialysis |
| Zdroj: | Clinical Journal of the American Society of Nephrology. 4:1097-1101 |
| ISSN: | 1555-9041 |
| Popis: | Background and objectives: Published studies suggest that longer hemodialysis (HD) sessions are associated with improved morbidity and mortality, but few centers offer long sessions. The Western Infirmary renal unit has offered long overnight hemodialysis (LOH) (6 to 7 h) thrice weekly since 1998. The aim of this study was to describe patients who chose LOH and compare outcomes with patients on conventional hours (4 to 5 h) HD. Design, settings, participants, & measurements: Patients who ever had LOH for three or more consecutive sessions were identified (n = 146). Indices of urea reduction ratio (URR), anemia, hyperphosphatemia, and predialysis BP (BP) control in a subgroup of all patients on LOH for at least 1 yr since 2004 were compared with age, sex, and diabetes-matched controls undergoing conventional duration HD. Results: The mean age at the time of starting LOH was 51.8 yr and 74.7% started with a functioning arteriovenous fistula. Median duration of continuous LOH was 1.6 yr. Of those no longer on LOH, only 33.3% reverted to conventional hours HD (mean duration LOH 2.2 yr). When comparing LOH and conventional HD cohorts, there was increased URR and mean hemoglobin with a trend toward lower mean erythropoietin index. There was a trend toward fewer phosphate binder tablets but no difference in mean serum phosphate, BP, or number of prescribed antihypertensive medicines. Conclusions: LOH is a well tolerated hemodialysis option, associated with improved URR and better control of anemia. |
| Databáze: | OpenAIRE |
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