Clinical Evidence of Frequent Home Hemodialysis Therapy in the Gulf Cooperation Council (GCC) Countries: A Preliminary Study of a Unique Experience

Background: Frequent home hemodialysis is more prevelant and in trend as one of the practical dialysis treatment option. Nurse Assisted Home Hemodialysis (NAHHD) treating active, autonomous, and relatively, healthy dialysis patients and mostly debilitated and frail patients with comorbidities at home and long-term care facilities. Presenting clinical outcomes of Home Hemodialysis treatment, at HHD, service provider in the GCC. Methods: This is a prospective observational study including 447 patients undergoing frequent home hemodialysis treatment, for more than 3 months with a portable HD machine at home. Patients received adequate frequent dialysis with average 4 sessions/week (min-3.5; max-5). Estimated the HD adequacy and key performance indicators (KPI) with a target standardised KT/V ≥2.1. Results: A study group of 477 patients (>3months on HHD). Female- 53% and Male- 47%. The mean average age of the patients, 68.11 ± 15.96 (17 ≤ X ≤ 108 yrs.). The average comorbidities: 6.3 ± 3.45 (Min-2, Max-14). The vascular access: AVF/ AVG- 39.6%, PC- 60.4%. One year average of the biological KPI with HD adequacy are shown in Table 1. Conclusion: Patients treated with frequent home hemodialysis showed better clinical health outcomes and better quality of life with more energy, better sleep, flexibility in active schedule and feeling more in control. Considering the outcomes of the presented data, frequent home hemodialysis can deliver much beneficial experience.