HOME HAEMODIALYSIS TRAINING TIMES IN THE CONTEMPORARY ERA
Dr Rohan Khanal1, Dr Emily Yeung1, Ms Siew Eng Foo1, Ms Kylie Chenoweth1, Prof Peter Kerr1,2, Prof Kevan Polkinghorne1,2
1Monash Health, Clayton, Australia, 2Monash University, Clayton, Australia
Aim: Summarise and assess factors associated with the time taken for patients to complete home haemodialysis (HHD) training.
Background: As HHD is associated with improved patient survival, older and more comorbid patients are now accepted on HHD. Kidney Health Australia informs suggests HHD training takes an average of 6 to 8 weeks but there are no recent data to support this estimate.
Methods: Retrospective cohort study of all patients commenced and completed HHD training at a large metropolitan centre over 10 years (2013-2022). Patients returning to HHD were excluded. Outcomes of interest was proportion who failed HHD training and the time taken to complete training, defined as the number of days between first training session and first dialysis session at home. Factors associated with training time were assessed with multivariate linear regression including age, sex, primary kidney disease and coronary artery disease (CAD).
Results: Of 194 patients who commenced HHD training (excluding retrainees), 152 (78%) completed training while 32 (16%) failed to go home (4 transplanted during training, 1 died, 5 still training). The average age of patients that completed training was 52 years, with 76% male, 32% diabetic, and 22% with CAD. The median duration for training was 74 days (IQR 53-92 days). On multivariate analysis, both older age (3.6 days per 5-year increase in age 95%CI 1.2,6.0) and primary kidney disease (DM 16d versus GN 95%CI 1,31) were associated with longer HHD training time while sex (female -6d, 95%CI -50,7) and CAD (-5, 95%CI -19,10) were not.
Conclusions: In the contemporary era, HHD training had a median duration of 74 days. Age and primary kidney disease were significantly associated with longer training duration.
Biography:
Rohan is a final year advanced trainee at Monash Health with a strong interest in home therapies and public health.