Early results and medico-economic evaluation of a short daily home hemodialysis program in a Private hemodialysis center

Short daily home hemodialysis programm

  • Hadia Hebibi Nephocare, Villejuif
  • Magali Ciroldi NephroCare Villejuif
  • Laure Cornillac Fresenius Medical Care, ile de France, France
  • Samah Saibi NephroCare ile de France
  • Fatia El Boundri NephroCare ile de France
  • Charles Chazot NephroCare Frnace, Fresenius Medical Care https://orcid.org/0000-0002-6509-420X
  • David Attaf CH Pierre Bérégovoy, 1 rue Guillot 58000 Nevers https://orcid.org/0000-0001-8326-8261
Keywords: NxStage, button-hole, weekly Kt/v, daily hemodialysis, home hemodialysis

Abstract

Abstract: 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.

Author Biographies

Hadia Hebibi, Nephocare, Villejuif

Nephrologue, service de néphrologie et transplantation renale CHU Kremlin Bicêtre, 94270 Kremlin Bicêtre 

David Attaf, CH Pierre Bérégovoy, 1 rue Guillot 58000 Nevers

Directeur medical Fresenius Medical Care

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Published
2021-05-20
How to Cite
1.
Hebibi H, Ciroldi M, Cornillac L, Saibi S, El Boundri F, Chazot C, Attaf D. Early results and medico-economic evaluation of a short daily home hemodialysis program in a Private hemodialysis center. Bull Dial Domic [Internet]. 2021May20 [cited 2022Jun.30];4(2):105-19. Available from: https://www.bdd.rdplf.org/index.php/bdd/article/view/61653