Prolonged hemodialysis: Rationale, practical organization, results

Autor: Laruelle, Eric, Corlu, Lea, Pladys, Adélaide, Hitze, Thibault Dolley, Couchoud, Cécile, Vigneau, Cécile
Přispěvatelé: Groupe Hospitalier Bretagne Sud (GHBS), École des Hautes Études en Santé Publique [EHESP] (EHESP), Agence de la biomédecine [Saint-Denis la Plaine], Institut de recherche en santé, environnement et travail (Irset), Université d'Angers (UA)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )
Jazyk: francouzština
Rok vydání: 2021
Předmět:
Zdroj: Néphrologie et Thérapeutique
Néphrologie et Thérapeutique, Elsevier Masson, 2021, 17, pp.71-77. ⟨10.1016/j.nephro.2020.02.004⟩
Néphrologie & Thérapeutique
Néphrologie & Thérapeutique, 2021, 17, pp.71-77. ⟨10.1016/j.nephro.2020.02.004⟩
ISSN: 1769-7255
1872-9177
DOI: 10.1016/j.nephro.2020.02.004⟩
Popis: National audience; In France, long nocturnal dialyses, eight hours three-times a week, are sparsely proposed. However, numerous studies reported that this specific type of dialysis is associated to better blood pressure control, better cardiac remodeling, better mineral and nutritional balance as well as better life quality and survival rate. Material and methods. - In this study, we aimed at quantifying the benefits, risks and obstacles of developing night dialysis and at describing the results of a program that took place in Rennes from 2002 to 2019. Data were collected between 2008 and 2014 for eighteen case-patients and were compared to thirty-six controls that underwent conventional dialysis. Patients were paired according sex, age and year of dialysis start. Results. - The median age for dialysis start was 47.5 years [27-60] with a male prevalence (5/1). After six months, a significant difference was reported for postdialytic, systolic and diastolic pressure (respectively 126 +/- 15 vs 139 +/- 21 [P = 0.04] and 72 +/- 9 vs 81 +/- 14 [P = 0.02]) despite an antihypertensive reduction ranging from 2.4 +/- 1.4 to 1.3 +/- 0.9 per day at six months and 0.7 +/- 0.9 at one year (P = 0.02). An increase of nPCR was evidenced at 6 and 9 months (P = 0.02). At the end of the study, the phosphate level was maintained for both cohorts at the expense of an increased consumption of phosphate binder for the long nocturnal dialysis group (P = 0.025). As a whole, 61% of the patients that pursued long night dialysis maintained a professional activity compared to only 30% for the controls (P = 0.04). This highlights the advantages of night dialysis for maintaining employment but also the bias that represents the employment status in observational study on this specific topic. (C) 2020 Societe francophone de nephrologie, dialyse et transplantation. Published by Elsevier Masson SAS. All rights reserved.
Databáze: OpenAIRE
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