Remote monitoring as a surveillance method in patients on automated peritoneal dialysis for preventing complications and COVID-19 contagion
Background: Due to the health emergency of COVID-19, telemedicine has become more relevant. Remote monitoring conspicuous as a valuable tool for the clinical follow-up of kidney patients, in this case, who are treated with automated peritoneal dialysis. This study aims to describe the use of remote...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Journal of Infection and Public Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S187603412300254X |
| _version_ | 1797690242995585024 |
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| author | Miguel A. Cuevas-Budhart Miguel A. Trejo-Villeda Miriam Cabrera Delgado Beatriz Hernandez-Franco Marcela Ávila Díaz Alfonso Ramos-Sanchez Ramón Paniagua |
| author_facet | Miguel A. Cuevas-Budhart Miguel A. Trejo-Villeda Miriam Cabrera Delgado Beatriz Hernandez-Franco Marcela Ávila Díaz Alfonso Ramos-Sanchez Ramón Paniagua |
| author_sort | Miguel A. Cuevas-Budhart |
| collection | DOAJ |
| description | Background: Due to the health emergency of COVID-19, telemedicine has become more relevant. Remote monitoring conspicuous as a valuable tool for the clinical follow-up of kidney patients, in this case, who are treated with automated peritoneal dialysis. This study aims to describe the use of remote monitoring as a surveillance method in a cohort of patients on automated peritoneal dialysis prevent complications and COVID-19 contagion. Methods: Study of a cohort of patients who initially participated in a randomized block clinical trial in which the use of Automated Peritoneal Dialysis with Remote Monitoring (APD-RM) was compared with conventional treatment. A descriptive analysis was performed of the rates of infection by COVID-19, the time of incidence until this, mortality, and rates of transfer to hemodialysis. In addition, survival was measured by survival curves. Results: Of the 509 patients, 19 were positive for COVID-19 (incidence rate of 7.0 episodes/100 patient-year), and only six patients recovered from the infection; the death rate was 2.6 % compared to all-cause death of 9.8 %. The most affected group of patients were those over 50 years old, with 71.4 % mortality, in contrast to younger patients infected, with a mortality of 60 %. During the follow-up period, 21 patients were transferred to HD: six due to peritonitis, five due to UF failure, seven due to catheter dysfunction, one due to uremic syndrome, one due to COVID-19, and one by surgical intervention. Conclusion: APD-RM patients have a significant advantage over other dialysis therapies because the use of telemedicine not only provides continuity in the patient's clinical treatment but also favors the prevention of COVID-19 infection, the management and prevention of complications inherent to therapy and the preservation of the life of Peritoneal Dialysis patients. |
| first_indexed | 2024-03-12T01:56:45Z |
| format | Article |
| id | doaj.art-fdd752d601f04ce0842bed058ce8c846 |
| institution | Directory Open Access Journal |
| issn | 1876-0341 |
| language | English |
| last_indexed | 2024-03-12T01:56:45Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Infection and Public Health |
| spelling | doaj.art-fdd752d601f04ce0842bed058ce8c8462023-09-08T04:33:07ZengElsevierJournal of Infection and Public Health1876-03412023-10-01161016191624Remote monitoring as a surveillance method in patients on automated peritoneal dialysis for preventing complications and COVID-19 contagionMiguel A. Cuevas-Budhart0Miguel A. Trejo-Villeda1Miriam Cabrera Delgado2Beatriz Hernandez-Franco3Marcela Ávila Díaz4Alfonso Ramos-Sanchez5Ramón Paniagua6Unidad de Investigación Médica en Enfermedades Nefrológicas, Hospital de Especialidades, Centro Médico Siglo XXI, Instituto del Seguro Social, Mexico City, MexicoUnidad de Investigación Médica en Enfermedades Nefrológicas, Hospital de Especialidades, Centro Médico Siglo XXI, Instituto del Seguro Social, Mexico City, MexicoBaxter Healthcare Corporation, Mexico city, MexicoUnidad de Investigación Médica en Enfermedades Nefrológicas, Hospital de Especialidades, Centro Médico Siglo XXI, Instituto del Seguro Social, Mexico City, MexicoUnidad de Investigación Médica en Enfermedades Nefrológicas, Hospital de Especialidades, Centro Médico Siglo XXI, Instituto del Seguro Social, Mexico City, MexicoMacrotech, Santo Domingo, Dominican RepublicUnidad de Investigación Médica en Enfermedades Nefrológicas, Hospital de Especialidades, Centro Médico Siglo XXI, Instituto del Seguro Social, Mexico City, Mexico; Correspondence to: Research Unit in Nephrological Diseases, XXI Century National Medical Center, Av. Cuauhtémoc 330, Doctores, Cuauhtémoc, 06720 Ciudad de México, Mexico.Background: Due to the health emergency of COVID-19, telemedicine has become more relevant. Remote monitoring conspicuous as a valuable tool for the clinical follow-up of kidney patients, in this case, who are treated with automated peritoneal dialysis. This study aims to describe the use of remote monitoring as a surveillance method in a cohort of patients on automated peritoneal dialysis prevent complications and COVID-19 contagion. Methods: Study of a cohort of patients who initially participated in a randomized block clinical trial in which the use of Automated Peritoneal Dialysis with Remote Monitoring (APD-RM) was compared with conventional treatment. A descriptive analysis was performed of the rates of infection by COVID-19, the time of incidence until this, mortality, and rates of transfer to hemodialysis. In addition, survival was measured by survival curves. Results: Of the 509 patients, 19 were positive for COVID-19 (incidence rate of 7.0 episodes/100 patient-year), and only six patients recovered from the infection; the death rate was 2.6 % compared to all-cause death of 9.8 %. The most affected group of patients were those over 50 years old, with 71.4 % mortality, in contrast to younger patients infected, with a mortality of 60 %. During the follow-up period, 21 patients were transferred to HD: six due to peritonitis, five due to UF failure, seven due to catheter dysfunction, one due to uremic syndrome, one due to COVID-19, and one by surgical intervention. Conclusion: APD-RM patients have a significant advantage over other dialysis therapies because the use of telemedicine not only provides continuity in the patient's clinical treatment but also favors the prevention of COVID-19 infection, the management and prevention of complications inherent to therapy and the preservation of the life of Peritoneal Dialysis patients.http://www.sciencedirect.com/science/article/pii/S187603412300254XCovid-19Automated peritoneal dialysisTelemedicineRemote Monitoring |
| spellingShingle | Miguel A. Cuevas-Budhart Miguel A. Trejo-Villeda Miriam Cabrera Delgado Beatriz Hernandez-Franco Marcela Ávila Díaz Alfonso Ramos-Sanchez Ramón Paniagua Remote monitoring as a surveillance method in patients on automated peritoneal dialysis for preventing complications and COVID-19 contagion Journal of Infection and Public Health Covid-19 Automated peritoneal dialysis Telemedicine Remote Monitoring |
| title | Remote monitoring as a surveillance method in patients on automated peritoneal dialysis for preventing complications and COVID-19 contagion |
| title_full | Remote monitoring as a surveillance method in patients on automated peritoneal dialysis for preventing complications and COVID-19 contagion |
| title_fullStr | Remote monitoring as a surveillance method in patients on automated peritoneal dialysis for preventing complications and COVID-19 contagion |
| title_full_unstemmed | Remote monitoring as a surveillance method in patients on automated peritoneal dialysis for preventing complications and COVID-19 contagion |
| title_short | Remote monitoring as a surveillance method in patients on automated peritoneal dialysis for preventing complications and COVID-19 contagion |
| title_sort | remote monitoring as a surveillance method in patients on automated peritoneal dialysis for preventing complications and covid 19 contagion |
| topic | Covid-19 Automated peritoneal dialysis Telemedicine Remote Monitoring |
| url | http://www.sciencedirect.com/science/article/pii/S187603412300254X |
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