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Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
Published on: October 2, 2020
Home haemodialysis in Ireland
D M Connaughton1, A Jamal, J McWilliams
1Department of Nephrology, Beaumont Hospital, Dublin 9, Ireland. dervlaconnaughton@gmail.com
Irish Journal of Medical Science
|June 5, 2012
Summary
Home haemodialysis (HHD) offers a viable alternative to in-centre dialysis, reducing travel time and medication needs for select patients. This community-based therapy shows potential for improved outcomes and patient quality of life.
Area of Science:
- Nephrology
- Renal Replacement Therapy
- Public Health
Background:
- Home haemodialysis (HHD) programs were initiated in Ireland in 2009.
- Studies suggested HHD offers better outcomes and survival rates than in-centre dialysis.
Purpose of the Study:
- To evaluate the outcomes of patients enrolled in the HHD program.
- Assess the effectiveness and patient experience of HHD.
Main Methods:
- Analysis of baseline characteristics and standard dialysis parameters.
- Monitoring of blood pressure control, antihypertensive medication use, and vascular access.
- Tracking of hospitalisation rates and technical dialysis issues.
Main Results:
- Reduced travel time and increased dialysis frequency observed.
- Trend towards lower blood pressure and decreased antihypertensive use in most patients.
- Majority of hospitalizations were linked to vascular access complications.
Conclusions:
- Home haemodialysis is a community-based renal replacement therapy.
- HHD provides an alternative to conventional in-centre haemodialysis for suitable patients.
- The program demonstrated feasibility and potential benefits for a select patient cohort.
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