当前位置: X-MOL 学术Cardiorenal Med. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Automated Remote Monitoring for Peritoneal Dialysis and Its Impact on Blood Pressure.
Cardiorenal Medicine ( IF 3.8 ) Pub Date : 2020-04-14 , DOI: 10.1159/000506699
Hasan Haci Yeter 1 , Omer Faruk Akcay 2 , Claudio Ronco 3 , Ulver Derici 2
Affiliation  

INTRODUCTION Peritoneal dialysis (PD) provides a safe, home-based continuous renal replacement therapy for patients. The adherence of the patients to the prescribed dialysis fluids cannot always be monitored by physicians. Remote monitoring automated peritoneal dialysis (RM-APD) can affect patients' compliance with treatment and, thus, clinical outcomes. OBJECTIVE We aimed to evaluate the clinical outcomes of patients with a remote access program. METHODS This was an observational study. We analyzed the effect of RM-APD on treatment adherence, dialysis adequacy, and change in blood pressure control, sleep quality, and health-related quality of life during the 6 months of follow-up. RESULTS A total of 15 patients were enrolled in this study. It was found that there was a significant decrease (99 ± 19 vs. 89 ± 11 mm Hg) in mean arterial blood pressure of patients, and a considerable increase in Kt/V was observed in the sixth month after the RM-APD switch (2.11 ± 0.4 vs. 2.25 ± 0.5). A significant increase was found when comparing the 3-month and 6-month ultrafiltration amounts before RM-APD and the ultrafiltration amount within 6 months after RM-APD (800 mL [500-1,000] and 752 mL [490-986] vs. 824 mL [537-1,183]). The daily antihypertensive pill need (4 [0-7] vs. 2 [0-6]) and alarms received from the device decreased (from 4 [3-8] to 2 [0-3]) at the sixth month of the switch. There was no significant change in sleep quality and health-related quality of life within 6 months. CONCLUSION This study showed that treatment adherence and ultrafiltration amounts of patients increased with the use of RM-APD, as well as better blood pressure control with fewer antihypertensive drugs.

中文翻译:

腹膜透析及其对血压的影响的自动远程监控。

简介腹膜透析(PD)为患者提供安全的家庭式连续性肾脏替代治疗。医生不能总是监测患者对处方透析液的依从性。远程监测自动腹膜透析(RM-APD)会影响患者对治疗的依从性,从而影响临床结果。目的我们旨在评估采用远程访问程序的患者的临床结局。方法这是一项观察性研究。我们在随访的6个月中分析了RM-APD对治疗依从性,透析充分性以及血压控制,睡眠质量和健康相关生活质量变化的影响。结果本研究共纳入15名患者。发现有显着降低(99±19 vs. 患者的平均动脉血压为89±11 mm Hg),在RM-APD切换后的第六个月观察到Kt / V显着增加(2.11±0.4 vs. 2.25±0.5)。比较RM-APD之前的3个月和6个月的超滤量与RM-APD之后的6个月内的超滤量,发现显着增加(800 mL [500-1,000]和752 mL [490-986] vs. 824mL [537-1,183])。每天的降压药需求量(4 [0-7]比2 [0-6])和从设备收到的警报在第6个月减少(从4 [3-8]降为2 [0-3])。开关。在六个月内,睡眠质量和与健康相关的生活质量没有明显变化。结论本研究表明,使用RM-APD可以增加患者的治疗依从性和超滤量,
更新日期:2020-04-14
down
wechat
bug