Early results and medico-economic evaluation of a short daily home hemodialysis program in a Private hemodialysis center
| Autor: | Magali Ciroldi, Hadia Hebibi, Laure Cornillac, Samah Saibi, David Attaf, Fatia El Boundri, Charles Chazot |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
home hemodialysis button-hole business.industry Home hemodialysis medicine.medical_treatment RC31-1245 Atomic and Molecular Physics and Optics NxStage Early results Economic evaluation Emergency medicine medicine weekly Kt/v Center (algebra and category theory) Hemodialysis daily hemodialysis Electrical and Electronic Engineering business Internal medicine |
| Zdroj: | Bulletin de la Dialyse à Domicile, Vol 4, Iss 2 (2021) |
| ISSN: | 2607-9917 |
| Popis: | Between 2015 and 2017 there was a 40% increase in daily hemodialysis, according to the REIN database. This increase concerns 1% of patients and the private sector remains under-represented. Our retrospective study aims to describe the clinical features, the organizational and medico-economic specificities of this technique in a private hemodialysis center. Methods: We included 12 dialyzed patients trained on Nx Stage® machine from February 2020 to April 2021. Data were retrospectively obtained through review of our electronic medical records (EUCLID®). Results: Of the 12 patients trained, 11 dialyzed from home, with an average follow-up of 9 months (1-14). The average age was 45 with a sex ratio of 4/8 (M/W), and a median Charlson score of 3 (2-4). The average residual urinary output was 700 mL/24h, and 50% of patients were anuric. 100% of patients had an arteriovenous fistula and were cannulated using the buttonhole technique. 9 patients are on a transplant list. One patient needed anticoagulants. The mean training time was 35 days (28-35). 83% of patients were dialyzed 6 days a week with an average duration of 210 minutes (130-150) per session. The average volume of dialysate was 24.85 liters. One patient developed an allergy to the PUREMA® membrane. Pre-dialytic hemoglobin, serum creatinine, urea, phosphoremia and B2-microglobuline are stable at 9 months with improvement in metabolic acidosis. Conclusion: DHHD allowed a better socio-professional integration. One patient received a transplant and 3 patients resumed professional activity. |
| Databáze: | OpenAIRE |
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