作者
Massimo Torreggiani, Antioco Fois, Antoine Chatrenet, Louise Nielsen, Lurlynis Gendrot, Elisa Longhitano, Léna Lecointre, Claudine Garcia, Conrad Breuer, Béatrice Mazé, Assia Hami, Guillaume Seret, Patrick Saulniers, Pierre Ronco, Frederic Lavainne, Giorgina Barbara Piccoli
发表日期
2022/5/1
期刊
Kidney international reports
卷号
7
期号
5
页码范围
1049-1061
出版商
Elsevier
简介
Introduction
Incremental hemodialysis (iHD) may attenuate “dialysis shock” and reduce costs, preserving quality of life. It is considered difficult to reconcile with HD wards’ routine; fear of underdialysis and increasing mortality are additional concerns. The aim of this study was to evaluate mortality, morbidity, and costs in a large HD ward where iHD is the standard of HD start.
Methods
This observational study included all incident HD patients in 2017 to 2021, stratified according to HD start: iHD (1–2 sessions/wk), decremental HD (dHD, 3 sessions/wk at start, later reduced), or standard (3 sessions/wk). Results were compared with data recorded in the same unit before the incremental program (2015–2017) and with a propensity score-matched cohort from the French Renal Epidemiology and Information Network (REIN) registry.
Results
A total of 158 patients started HD in 2017 to 2021, 57.6% on iHD, 8.9% dHD, and 33 …
学术搜索中的文章
M Torreggiani, A Fois, A Chatrenet, L Nielsen… - Kidney international reports, 2022