دورية أكاديمية

Early results and medico-economic evaluation of a short daily home hemodialysis program in a Private hemodialysis center ; Résultats préliminaires et étude médico-économique d’un programme d’hémodialyse quotidienne à domicile dans un centre d’hémodialyse privé

التفاصيل البيبلوغرافية
العنوان: Early results and medico-economic evaluation of a short daily home hemodialysis program in a Private hemodialysis center ; Résultats préliminaires et étude médico-économique d’un programme d’hémodialyse quotidienne à domicile dans un centre d’hémodialyse privé
المؤلفون: Hebibi, Hadia, Ciroldi, Magali, Cornillac, Laure, Saibi, Samah, El Boundri, Fatia, Chazot, Charles, Attaf, David
المصدر: Bulletin de la Dialyse à Domicile; Vol 4 No 2 (2021): Bulletin de la Dialyse à Domicile; 105-119 ; Bulletin de la Dialyse à Domicile; Vol. 4 No 2 (2021): Bulletin de la Dialyse à Domicile; 105-119 ; 2607-9917
بيانات النشر: RDPLF
سنة النشر: 2021
المجموعة: UCLouvain: Open Journal Repository (Université catholique de Louvain)
مصطلحات موضوعية: NxStage, button-hole, weekly Kt/v, daily hemodialysis, home hemodialysis, Preliminary results and economic study of a daily home hemodialysis program in a private dialysis center, hémodialyse quotidienne, Kt/V hebdomadaire, hémodialyse à domicile, Résultats préliminaires et étude économique d'un programme d'Hémodialyse quotidienne à domicile dans un centre de dialyse privé
الوصف: 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. ; Introduction : En France, entre 2015 et 2017 on note une progression de 40% de l’hémodialyse quotidienne (HDQ), selon le registre REIN. Celle-ci concerne moins de 1% de la population dialysée et le secteur privé restant sous-représenté. Matériels et méthodes : Notre étude rétrospective a pour objectifs de décrire les résultats cliniques, les spécificités organisationnelles et medico-économiques de cette technique dans un centre d’hémodialyse privé.Résultats :Entre ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: French
English
العلاقة: https://ojs.uclouvain.be/index.php/bdd/article/view/61653/58713Test; https://ojs.uclouvain.be/index.php/bdd/article/view/61653/58733Test; https://ojs.uclouvain.be/index.php/bdd/article/view/61653Test
DOI: 10.25796/bdd.v4i2.61653
الإتاحة: https://doi.org/10.25796/bdd.v4i2.61653Test
https://ojs.uclouvain.be/index.php/bdd/article/view/61653Test
حقوق: Copyright (c) 2021 Hadia HEBIBI, Magali CIROLDI, LAURE CORNILLAC, Samah SAIBI, Fatia EL BOUNDRI, Charles CHAZOT, David ATTAF ; http://creativecommons.org/licenses/by/4.0Test
رقم الانضمام: edsbas.953CAFF9
قاعدة البيانات: BASE