Cover image of the article: Home Hemodialysis as a Suitable Alternative as COVID-19 Pandemic Resurges

Image Credit:Nephro-Urol Mon

Home Hemodialysis as a Suitable Alternative as COVID-19 Pandemic Resurges

Authors

Nader AghakhaniNader Aghakhani ORCID1, Mohammad DelirradMohammad Delirrad ORCID2, Ebrahim Aliafsari MamaghaniEbrahim Aliafsari Mamaghani ORCID3,*
How to Cite:Aghakhani N, Delirrad M, Aliafsari Mamaghani E. Home Hemodialysis as a Suitable Alternative as COVID-19 Pandemic Resurges. Nephro-Urol Mon. 2023;15(3):e140193. doi: https://doi.org/10.5812/numonthly-140193

Dear Editor,
The appearance and spread of COVID-19 have become a concerning medical issue worldwide. Patients undergoing hemodialysis therapy have been significantly impacted during the pandemic, as have healthcare professionals providing care to this vulnerable group who are not immune to the virus according to their treatment method. Medical settings where patients receive hemodialysis treatment are known to be high-risk environments, with the most vulnerable patients having a greater risk of infection and mortality (1).
Most of these patients are elderly with multiple comorbidities, making them part of a high-risk group for contracting COVID-19 despite several preventive measures and guidelines. In addition, they share common spaces and stay in restricted locations for extended periods, including transportation, which poses significant logistical challenges (2).
Alternative methods, such as home hemodialysis, have been developed to treat severely ill COVID-19 patients who face shortages of supplies, manpower, and available equipment for their treatment at home. Home hemodialysis allows for an adaptable timetable, more frequent treatments, the avoidance of long interdialytic intervals, greater travel ability, and self-administration, all of which improve patients' self-efficacy, independence, and capacity to take appropriate infection control measures to reduce COVID-19 exposure and spread (3).
Patients can avoid exposure and infection risks by receiving hemodialysis treatment at home, keeping them safe while maintaining treatment efficacy and staying closely connected with their healthcare professionals. Home hemodialysis provides a wide range of medical and quality of life benefits, including safety and protection (4), and innovative technological solutions like telemedicine help address patient concerns, recognize issues, facilitate remote tracking of patients, promote social distance, and ensure continuous care (5).
In conclusion, home hemodialysis is an effective treatment strategy that enhances patients' endurance and quality of life. It enables them to avoid exposure and transmission of infectious diseases like COVID-19 by remaining at home and complying with effective measures.

Footnotes

  • Authors' Contribution: All three authors actively participated in all stages, especially in the initial idea and its writing.

  • Conflict of Interests: There is no conflict of interest.

  • Funding/Support: There was no funding/support.

References

  • 1.
    Sanchez-Alvarez JE, Perez Fontan M, Jimenez Martin C, Blasco Pelicano M, Cabezas Reina CJ, Sevillano Prieto AM, et al. SARS-CoV-2 infection in patients on renal replacement therapy. Report of the COVID-19 Registry of the Spanish Society of Nephrology (SEN). Nefrologia (Engl Ed). 2020;40(3):272-8. [PubMed ID: 32389518]. [PubMed Central ID: PMC7161531]. https://doi.org/10.1016/j.nefro.2020.04.002.
  • 2.
    Albalate M, Arribas P, Torres E, Cintra M, Alcazar R, Puerta M, et al. High prevalence of asymptomatic COVID-19 in haemodialysis: learning day by day in the first month of the COVID-19 pandemic. Nefrologia (Engl Ed). 2020;40(3):279-86. [PubMed ID: 32456944]. [PubMed Central ID: PMC7190471]. https://doi.org/10.1016/j.nefro.2020.04.005.
  • 3.
    Sachdeva M, Jhaveri KD, Fishbane S. Home Dialysis in the Time of COVID-19: Reflections on Rapidly Changing Policies. Kidney Med. 2021;3(1):1-5. [PubMed ID: 33251508]. [PubMed Central ID: PMC7685041]. https://doi.org/10.1016/j.xkme.2020.09.008.
  • 4.
    Bonenkamp AA, van Eck van der Sluijs A, Hoekstra T, Verhaar MC, van Ittersum FJ, Abrahams AC, et al. Health-Related Quality of Life in Home Dialysis Patients Compared to In-Center Hemodialysis Patients: A Systematic Review and Meta-analysis. Kidney Med. 2020;2(2):139-54. [PubMed ID: 32734235]. [PubMed Central ID: PMC7380444]. https://doi.org/10.1016/j.xkme.2019.11.005.
  • 5.
    Lew SQ, Wallace EL, Srivatana V, Warady BA, Watnick S, Hood J, et al. Telehealth for Home Dialysis in COVID-19 and Beyond: A Perspective From the American Society of Nephrology COVID-19 Home Dialysis Subcommittee. Am J Kidney Dis. 2021;77(1):142-8. [PubMed ID: 33002530]. [PubMed Central ID: PMC7521438]. https://doi.org/10.1053/j.ajkd.2020.09.005.

Copyright

Copyright © 2023, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0) (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Similar Articles

16
Sep
2020
Strategies for Reducing the Risk of COVID-19 in Dialysis Patients

Strategies for Reducing the Risk of COVID-19 in Dialysis Patients

Behrouz Soltany,
Farzad Zareie

Soltany B, Zareie F. Strategies for Reducing the Risk of COVID-19 in Dialysis Patients. Nephro-Urol Mon. 2020;12(4):e107280. doi: https://doi.org/10.5812/numonthly.107280

26
Jul
2022
Dialysis During the COVID-19 Pandemic: Experiences from 4 Dialysis Centers in Iran

Dialysis During the COVID-19 Pandemic: Experiences from 4 Dialysis Centers in Iran

Zohreh Rostami,
Farzaneh Futuhi,
Eghlim Nemati,
Azam Soleimani Najafabadi,
Mohammad Javanbakht,
Mehrdad Ebrahimi
,et al.

Rostami Z, Futuhi F, Nemati E, Soleimani Najafabadi A, Javanbakht M, et al. Dialysis During the COVID-19 Pandemic: Experiences from 4 Dialysis Centers in Iran. Nephro-Urol Mon. 2022;14(3):e127290. doi: https://doi.org/10.5812/numonthly-127290

19
Apr
2023
How to Keep HBOT Chambers Safe from Getting Infected With COVID-19

How to Keep HBOT Chambers Safe from Getting Infected With COVID-19

Reza Eslami,
Mehrzad MohsseniPour

Eslami R, MohsseniPour M. How to Keep HBOT Chambers Safe from Getting Infected With COVID-19. Ann Mil Health Sci Res. 2022;20(4):e135919. doi: https://doi.org/10.5812/amh-135919

28
Oct
2020
COVID-19 Pandemic: The Effectiveness of Telehealth

COVID-19 Pandemic: The Effectiveness of Telehealth

Faisal Muhammad

Muhammad F. COVID-19 Pandemic: The Effectiveness of Telehealth. Middle East J Rehabil Health Stud. 2020;7(4):e107809. doi: https://doi.org/10.5812/mejrh.107809

26
Apr
2020
Home based ventilatory support during Covid-19 pandemic: A double edged sword

Home based ventilatory support during Covid-19 pandemic: A double edged sword

Abhishek Singh,
Puneet Khanna

Singh A, Khanna P. Home based ventilatory support during Covid-19 pandemic: A double edged sword. J Cell Mol Anesth. 2020;5(2):e149620. doi: https://doi.org/10.22037/jcma.v5i2.30137

More by these authors

Nader AghakhaniPubMedScholar
Mohammad DelirradPubMedScholar
Ebrahim Aliafsari MamaghaniPubMedScholar
Share
Cited by
Metrics
Indexed in