Home haemodialysis reviewed: Majority of complications related to vascular access

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Intravenous literature: Connaughton, D.M., Jamal, A., McWilliams, J., O’Kelly, P., Ormond, J., Butler, A., McEntee, N., Tierney, E., Lambe, G., Denton, M., Magee, C. and Conlon, P.J. (2012) Home haemodialysis in Ireland. Irish Journal of Medical Science. Jun 3. [Epub ahead of print].

Abstract:

BACKGROUND: A home haemodialysis programme (HHD) was established in Ireland in 2009 following studies suggesting better outcomes and a survival advantage when compared to conventional in-centre dialysis.

AIM: The aim of this study was to assess the outcomes in patients commenced on the HHD programme.

METHODS: Baseline characteristics, standard dialysis parameters, blood pressure control, antihypertensive usage, vascular access problems, hospitalisation rates and technical issues related to dialysis were analysed.

RESULTS: Seventeen patients were followed over a 2-year period. Time spent travelling for dialysis-related treatments was reduced with time on dialysis per week increased. There was a trend towards lower blood pressure with nine patients, either discontinuing or having a reduction in antihypertensive medications. There were eight episodes of hospitalisation with the majority of complications related to vascular access.

CONCLUSION:
Home haemodialysis is a community-based therapy, offering an alternative to conventional in-centre haemodialysis in a select patient population.

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