The advantages of remote patient monitoring in automated peritoneal dialysis

The follow-up automated peritoneal dialysis (APD) patients has been recently improved as data can be transmitted remotely to an internet cloud. The introduction of remote patient monitoring (RPM) technologies also allows a better clinical control and tailoring of dialysis treatment through a web-bas...

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Published inGiornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia Vol. 37; no. 3
Main Authors Amici, Gianpaolo, Lo Cicero, Antonina, Presello, Fabiana, Zuccolo, Mery, Romanini, Dino, Bellina, Barbara, Janczar, Mariusz, Castenetto, Enza, Chiodarelli, Consuelo, Martino, Francesca Katiana
Format Journal Article
LanguageItalian
Published Italy 10.06.2020
Subjects
Aged
Cloud Computing
Female
Hospitalization
Humans
Male
Monitoring, Physiologic - methods
Peritoneal Dialysis - methods
Telemedicine - methods
Telemedicine - organization & administration
Telemetry - methods
Time Factors
remote patient monitoring
telemedicine
hospitalization
dialysis prescription
automated peritoneal dialysis
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Summary:The follow-up automated peritoneal dialysis (APD) patients has been recently improved as data can be transmitted remotely to an internet cloud. The introduction of remote patient monitoring (RPM) technologies also allows a better clinical control and tailoring of dialysis treatment through a web-based software (Claria-Sharesource Baxter). The aim of the present study is to determine the impact of RPM in a single center, both in clinical and organizational terms, compared to traditional technologies. We studied 26 prevalent APD patients aged 69±13 years, observing them for a period of six months while using the traditional technology and then further six months using the new technology. The patients had been on dialysis for 9 months before the start of the study and a relevant portion of them lived in mountainous or hilly areas. Our study shows an increase in the number of proactive calls from the center to the patients, a reduction of anxiety in patients and caregivers, an earlier detection of clinical problems, a reduction of unscheduled (urgent) visits and finally a reduction of hospitalizations after the adoption of RPM software. In our experience, the RPM system showed a good performance and a simple interface, allowing for the precise assessment of daily APD. Furthermore, RPM system improved the interaction between patients and healthcare providers, with a significant benefit in terms of safety and of care quality.
ISSN:1724-5990