@article{Hebibi_Ciroldi_Cornillac_Saibi_El Boundri_Chazot_Attaf_2021, title={Early results and medico-economic evaluation of a short daily home hemodialysis program in a Private hemodialysis center: Short daily home hemodialysis programm }, volume={4}, url={https://www.bdd.rdplf.org/index.php/bdd/article/view/61653}, DOI={10.25796/bdd.v4i2.61653}, abstractNote={<p><strong>Abstract:</strong> 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.</p> <p><strong>Methods:</strong> We included 12 dialyzed patients trained on Nx Stage<sup>®</sup> machine from February 2020 to April 2021. Data were retrospectively obtained through review of our electronic medical records (EUCLID<sup>®</sup>).</p> <p><strong>Results:</strong> 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.</p> <p><strong>Conclusion:</strong> DHHD allowed a better socio-professional integration. One patient received a transplant and 3 patients resumed professional activity.</p>}, number={2}, journal={Bulletin de la Dialyse à Domicile}, author={Hebibi, Hadia and Ciroldi, Magali and Cornillac, Laure and Saibi, Samah and El Boundri, Fatia and Chazot, Charles and Attaf, David}, year={2021}, month={May}, pages={105–119} }