SAT-230 Comparison between Nurse Assisted Home Hemodialysis (NAHHD), and in Center Hemodialysis (CHD), in home bound, multi comorbid, and debilitated hemodialysis patients

Home hemodialysis (HHD) is a renal replacement modality used to treat active, autonomous, and relatively, healthy dialysis patients. The steady increase in the number of dialysis patients, with multi comorbidities, debilitated, bed and home bound is creating a significant burden on the active hospital beds, and on the outpatient dialysis units. The clinical and biological outcome, of treating those highly comorbid and disabled dialysis patients, with nursing assisted home hemodialysis (NAHHD), at home compared to in center HD is unknown.