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Utility of a water-sparing approach for reducing dialysate flow rates in hospitalized patients with kidney failure.


ABSTRACT:

Introduction

Hemodialysis (HD) represents a necessary medical intervention for patients with end stage kidney disease (ESKD) with a high carbon footprint that significantly consumes natural resources (i.e. water). Reduction of dialysate flow rate is one strategy that directly targets water waste during HD.

Methods

A retrospective multicenter, observational study was conducted over 12 months in patients with AKI-D and ESKD to evaluate treatments with mid-range dialysate flow rates set at Qd 300 mL/min (Green HD) using the Tablo® HD System (Outset Medical) versus flow rates ⩾Qd 500 mL/min (Conventional systems).

Results

One thousand one hundred ninety-five treatments were performed in 433 patients using Green HD (Qd = 300 mL/min, n = 575) and Conventio

SUBMITTER: Parikh A 

PROVIDER: S-EPMC12152276 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature