Work

Effects of using auto flow factor function on hemodialysis efficacy in regular hemodialysis patients

Year: 2025

Type: article

Abstract: BACKGROUND: Recent HD systems have moved from pre-defined dialysate flow rates (e.g. 300, 500, 800 mL/min) to an individual setting, or an automatic adjustment with a fixed factor of the dialysate flow to the blood flow. Both allows more flexibility of choosing the appropriate dialysate flow as an optimal adjustment to the current blood flow. AIM OF THE WORK: To study the possible effects of using autoflow factor function on hemodialysis (HD) efficacy in regular hemodialysis patients. METHODS: A prospective cross section study included 55 ESRD patients on hemodialysis and conducted in hemodialysis unit in Menoufia university hospital. RESULTS: There was no statistically significant difference between the dialysate flow rate 500 mL/min and auto Flow factor regarding the Kt/V (p = 0.068). CONCLUSION: The present study demonstrates that the use of the Auto Flow Factor Function does not result in a statistically significant difference in dialysis efficacy compared to a fixed dialysate flow rate of 500 mL/min. Given the potential for dialysate and energy savings, the implementation of Auto Flow may represent a step toward environmentally sustainable dialysis without compromising patient care.

Source: BMC Nephrology

DOI: 10.1186/s12882-025-04508-2

Authors: Said S. A. Khamis, Ahmed Ragheeb Tawfeek, Mohammed Fathy Ragab, Heba Kamal Abd elkhalk

Institutions: Menoufia University, Shebin Teaching Hospital

Language: English

Topic: Dialysis and Renal Disease Management

Subfield: Nephrology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,090