Advantages of Nocturnal Home Hemodialysis
- Better blood pressure management—less need for blood pressure medications.
- Avoidance of intradialytic hypotension (i.e. low blood pressure during dialysis), something relatively common in IHD.
- More energy and less 'wash-out' after treatment.
- Decreased prevalence of sleep apnea or improvement in severe cases of sleep apnea - sleep better.
- Less expensive overall for the health system due to lower rates of hospitalization and savings on nursing.
- Less dietary restrictions—e.g., phosphate binders, renal failure food restrictions.
- More control over the dialysis treatment schedule and greater life satisfaction.
- Live longer, according to a case-cohort study.
- Cardiovascular disease in ESRD patients is the leading cause of mortality. Nocturnal hemodialysis is thought to improve ejection fraction (an important measure of cardiac function) and lead to a regression in left ventricular hypertrophy. Recently a benefit of 6x/week nocturnal hemodialysis on left ventricular hypertrophy was demonstrated in a randomized controlled trial.
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