Telemonitoring for improved survival of ‘home’ dialysis patients in the field

Telemonitoring for improved survival of ‘home’ dialysis patients in the fieldjuan carlos caval

Using remote monitoring to keep track at all times Kidney failure due to chronic kidney disease (ERC) helps people undergoing home dialysis treatment to live longer. Monitoring users through remote telemonitoring improves mortality rates in these users by eliminating waste products from the blood under peritoneal dialysis formula.

This has been reported in a large multicenter national investigation More than 230 patients have participated and which has been carried out by different nephrology units in 16 hospitals in Spain, including the Virgen de la Arrixaca Hospital in Murcia.

Study, coordinated by Dr. Francisco Javier Centellas Albacete University Hospital ComplexThere has been participation of nephrology professionals from leading hospital complexes in the region.

Diana Manzano, Deputy Responsible Peritoneal Dialysis of AriksakaHe tells La Opinion that four nurses and two doctors work in his unit and that he is sending them data and observations of 24 patients from the region of Murcia to include them in the study.

When chronic kidney disease reaches its most advanced stages, replacement therapy is required to restore kidney function. For those in whom it is indicated, transplant the first option isBut for those who are waiting for an organ or for whom transplantation is no longer possible, the options are hospital hemodialysis and peritoneal dialysis.

The latter is used at home, but its use is not yet well established among patients “for cultural reasons” and “due to the lack of support and autonomy problems these people, many of whom are older,” , they tell Spanish Society of Nephrology (SEN).

In recent years, nephrologists have been emphasizing the importance of promoting peritoneal dialysis with support resources that favor “acceptance and compliance”. Home remedies,

“With this method we are investigating whether the patient connects to the machine and how they carry out their treatment. Plus, the patient knows we can be behind them at all times,” explains Diana Manzano, who adds that this option gives them “a lot of feedback” regarding changes in treatment. One of the following main advantages For the user, he says, this means that the patient does not need to go to a consultation to check on their condition and how their treatment is progressing. Through audio, video, sensors, electronic data and combinations between them, they can learn remotely how it evolves.

“We not only have patients from Murcia, but also patients from other countries more distant places like Eagles one of two Yekla, It is very difficult for them to go to the hospital because, for example, an alarm has gone off on their device. This way, they can be taken care of from a distance and the work becomes much easier. “We’re very happy with the telemonitoring we do,” he says.

At this time, Manzano says, the unit is working with fifteen telemonitored patients, They are not only older, but also younger: “Thanks to this option, they do not lose working days if an incident happens to them.” He also assures that in the unit they try to provide at least one personal visit and another telephone service so that the patient does not have to travel repeatedly to El Palmar.

Study shows improved survival results in technique before and after applying statistical technique to eliminate selection bias It is commonly used in observational studies and improves outcomes Both mortality and technical survival before its use.

SEN says there needs to be “a great cultural change” as all patients start Renal replacement treatment in 2021Less than 20% choose home dialysis, compared to about 80% who choose hemodialysis in a health center “with everything it entails: three-four hospital visits every week and a much higher impact on quality of life.” have an impact on”.

A “silent epidemic” with high rates of underdiagnosis.

till chronic kidney disease (ERC) also known as “silent epidemicAccording to the Spanish Society of Nephrology (SEN), its symptoms may be less recognizable in the early stages. Furthermore, this disease has a high rate of underdiagnosis, 40%. Nephrologists assure that the name “epidemic” is due to the high prevalence: Between 10 and 15% of the Spanish adult population According to epidemiological studies, some degree of CKD presents. Similarly, the term “silent” has been added, he says, “because it does not produce symptoms until advanced stages.” The first symptoms a CKD patient may experience may be loss of appetite, headache, nausea, and unintentional weight loss. When the deformity worsens, it can cause pain in the bones, drowsiness, swelling in the hands and feet, excessive thirst or difficulty breathing.

In the above study Hospitals have also participated Such as clinics in Barcelona, ​​La Fe in Valencia, Balmis in Alicante, one in Santiago de Compostela, one in Madrid 12 de Octubre, one in Torrevieja, one in Alcalá de Henares or one in Badajoz.


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