More frequent and shorter dialysis sessions reduced recovery time to an hour or less in 80% of nursing home residents with end-stage kidney disease, a new study has found.
Dialysis recovery can include fatigue and weakness, and has been known to last up to six hours after a conventional three-treatment-a-week approach. But little is known about dialysis recovery time among nursing home residents, the investigators noted.
In the current study, more than 2,000 residents from 154 nursing facilities in 12 states reported their dialysis recovery times onsite. Relatively rapid recovery was seen in those who received five treatments in the previous week (totaling a minimum of 14 hours per week), with 92% of qualified study participants reporting recovery from treatment within two hours or less.
Study participants who had a pre-hemodialysis systolic blood pressure of 160 to 179 mmHg also had relatively fast recovery times. Additionally, rapid recovery was associated with reduced mortality or hospitalizations, the researchers added.
Patients were less likely to recover quickly if they were older, had missed previous treatment, or had complications from dialytic hypotension, they wrote.
Advantages of nursing home dialysis
The nursing home environment has advantages over the home environment for dialysis, the researchers noted. Discretionary fluid and salt consumption can be relatively limited in establishments, resulting in fewer fluid disposal requirements. A lower fluid removal requirement with more frequent dialysis may provide “smoother” dialysis, also contributing to a shorter recovery time, they concluded.
Shorter recovery time may also allow for greater preparation for nursing home activities such as rehabilitation therapy, they noted.
The researchers said they would next investigate the “practical ramifications” of rapid dialysis recovery time on residents’ perceptions of nursing home rehabilitation programs.
The survey was conducted by researchers from Albert Einstein College of Medicine and Mount Sinai Icahn School of Medicine in New York, and nursing home dialysis provider Dialyze Direct.
The full results have been published in the journal International Hemodialysis.
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