Nocturnal home hemodialysis with low-flow dialysate: Retrospective analysis of the first European patients.

Introduction: Despite mounting evidence that increased frequency and duration of hemodialysis (HD) improves outcomes, less than 1% of HD patients worldwide receive nocturnal hemodialysis (NHD). Many perceived barriers exist to providing NHD and increasing its provision.

Methods: A retrospective analysis of nocturnal therapy using a low-flow dialysate system in 4 European centers for a minimum of 12 months, with data collected on patient demographics, training times, safety features, medications, and biochemical parameters at baseline and at 6 and 12 months.

Intra-dialytic hypotension: Identifying patients most at risk.

Background: Intra-dialytic hypotension (IDH) remains a frequent but serious complication of haemodialysis.

Methods: We performed a retrospective observational analysis of our prevalent dialysis population extracting data from an online database.

Results: Four hundred and thirty-two patients underwent 21 consecutive outpatient dialysis sessions during the study period: Of the 9,072 dialysis sessions studied, 438 were complicated by episodes of IDH (4.