title: [Workload during hemodialysis sessions].
abstract: In recent years, the population of dialysis patients has become frailer and older. Patients present with more comorbid conditions and experience more complications during their follow-up. The aim of the present study is to describe the workload of the dialysis center during hemodialysis sessions and determine whether comorbidities are associated with increased workload. We conducted a retrospective multicentric study on a sample population of 123 patients selected from a dialysis population within a regional network. We described hospitalizations and HD sessions during a 1-year follow-up. We collected data on 19 prescriptions and events occurring during HD sessions. We described two HD care profiles (easy and difficult) and looked for variables linked with these profiles. We found that age more or equal to 60 years, elevated C-reactive protein and HD catheters are associated with difficult HD care. Surprisingly, apart from heart failure, comorbidities were not linked to greater workload during HD sessions. The development of HD care profiles should be helpful in early detection of frailer patients. This could have concrete applications such as better allocation of human and material resources and better training for the dialysis staff.
authors.affiliation: Service de néphrologie, hôpital Brabois adulte, hôpitaux universitaires de Nancy, allée du Morvan, 54500 Vandœuvre-lès-Nancy, France. n.peters@chu-nancy.fr
authors.forename: Nicolas Olivier
authors.initials: NO
authors.lastname: Peters
authors.forename: Joëlle
authors.initials: J
authors.lastname: Cridlig
authors.forename: Carole
authors.initials: C
authors.lastname: Loos-Ayav
authors.forename: Michèle
authors.initials: M
authors.lastname: Kessler
authors.forename: Luc
authors.initials: L
authors.lastname: Frimat
mesh_terms: D000367:Age Factors; D000368:Aged; D002097:C-Reactive Protein / Q000032:analysis; D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy*; D008297:Male; D006435:Renal Dialysis; D012189:Retrospective Studies
chemical_list: D006454:Hemoglobins; D002097:C-Reactive Protein