Short hemodialysis: long-term mortality and morbidity.

Abstract:

:Individualized short hemodialysis treatment schedules, approximately three 3-h treatments per week, were introduced in a nephrology unit in 1976. In May 1985, 259 patients had been treated, which corresponds to approximately 60 new patients per million inhabitants per year. Ages at start of therapy ranged between 17 and 78 years. Patient survival was 91% at 1 year, 76% at 5 years, and 60% at 10 years. The analysis of causes of death did not show an increase in cardiovascular or infectious problems. Hospitalization rate (excluding hospitalization at start of therapy and vascular access problems) was 7 +/- 9 days per patient per year (range 2-161). Therefore, it appears that in a largely unselected dialysis population, a schedule of 3-h hemodialysis three times per week may be safely applied for at least 9 years. The claim that short hemodialysis is associated with increased mortality and morbidity appears to be based on other interfering factors.

journal_name

Artif Organs

journal_title

Artificial organs

authors

Wauters JP,Bercini-Pansiot S,Gilliard N,Stauffer JC

doi

10.1111/j.1525-1594.1986.tb02541.x

subject

Has Abstract

pub_date

1986-06-01 00:00:00

pages

182-4

issue

3

eissn

0160-564X

issn

1525-1594

journal_volume

10

pub_type

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