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Kidney Week

Abstract: PO1246

Clinical Characteristics, Practice Pattern, and Outcome of Home Hemodialysis in India

Session Information

  • Home Hemodialysis
    October 22, 2020 | Location: On-Demand
    Abstract Time: 10:00 AM - 12:00 PM

Category: Dialysis

  • 702 Dialysis: Home Hemodialysis

Authors

  • Sankarasubbaiyan, Suresh, Nephroplus, Hyderabad, Telengana, India
  • Kumar, Kaparaboina Kartheek, Nephroplus, Hyderabad, Telengana, India
  • Ganapathi Subraman, Venkatraman, Nephroplus, Hyderabad, Telengana, India
  • Husain, Mohammad Sarwar, Nephroplus, Hyderabad, Telengana, India
  • Sonawane, Vikram Ashok, Nephroplus, Hyderabad, Telengana, India
  • Shah, Kamal D., Nephroplus, Hyderabad, Telengana, India
Background

Maintenance hemodialyis is growing steadily and is the dominant renal replacement modality and Home HD has been in recent times.But, the profile, treatment charactestics could be different from the western context but it remains unknown.

Methods

Prevalent patients on HD between Aug 2019 and Jan 2020 were reviewed for geographical location, age, gender, comorbidity, functional status, type of access, HD frequency, Hemoglobin,adequacy, S Albumin, S Calcium and S. phosphorus and survival. Descriptive statistics are presented to summarize data.

Results

n = 30. Mean age: 70.4 + 8.72, 15 males and 15 females. 26 were from large metropolitan cities. All patients underwent HHD with a help of HD technician deputed from a designated centre. 1388 sessions were done; total follow up:10610 patient days. 25 (83%) were diabetics, 21(70%) were Htn, 6(20%) had cardiovascular disease and 17(57%) were functionally dependant. 20(66.3%) patients had av fistula and 10(33.6%) had tunneled catheter. They reside at a distance of 13.85 + 8.76km from the HD centre. Range of HD frequency was from 1 to 3 per week. Mean Hb 9.80 + 1.34 g%. Kt/v: 1.50 + 016, S. Albumin: 3.52 + 0.44. Compliance for S. Ca testing was at 50% and S. Ca; 8.8 + 0.72, S Ph was 4.92 + 0.75 mg%. 3 patiens died during follow up after mean HD durtaion of 10.67 months

Conclusion

HHD patients in India are elderly with high prevalence of poor functional status ,comorbidites, tunelled catheter and it is solely provider driven. Payer type was entirely out of pocket. HD outcomes are reasonable but long term survival remains unclear. Thus, HHD patient characteristics and practice pattern are distinctly different from developed countries