Pauly Robert P, Eastwood Deborah O, Marshall Mark R
Division of Nephrology and Transplant Immunology, University of Alberta, Edmonton, Alberta, Canada.
Hemodial Int. 2015 Apr;19 Suppl 1:S59-70. doi: 10.1111/hdi.12248.
Interest in home hemodialysis (HD) is high because of the reported benefits and its excellent safety record. However, the potential for serious adverse events (AEs) exists when patients perform HD in their homes without supervision. We review the epidemiology of dialysis-related emergencies during home HD, and present a conceptual and practical framework for the prevention and management of serious AEs for those patients performing home HD. In addition, we describe a formal monitored and iterative quality assurance program, and make suggestions for the future development of safety strategies to mitigate the risk of AEs in home HD.
由于有报道称家庭血液透析（HD）具有诸多益处且安全记录良好，所以人们对它的兴趣很高。然而，当患者在无人监督的情况下在家中进行血液透析时，存在发生严重不良事件（AE）的可能性。我们回顾了家庭血液透析期间与透析相关的紧急情况的流行病学，并为在家中进行血液透析的患者预防和管理严重不良事件提出了一个概念性和实用性的框架。此外，我们描述了一个正式的监测和迭代质量保证计划，并对未来制定安全策略以降低家庭血液透析中不良事件风险提出建议。
