Abstract: TH-PO859

Help of Remote Patient Monitoring in the Assessment of Changes in Ultrafiltration before, during, and after a Peritonitis Episode in Patients on Automated Peritoneal Dialysis

Session Information

  • Peritoneal Dialysis - I
    November 02, 2017 | Location: Hall H, Morial Convention Center
    Abstract Time: 10:00 AM - 10:00 AM

Category: Dialysis

  • 608 Peritoneal Dialysis

Authors

  • Rojas-Diaz, Mario, Hospital Especialidades Dr Belisario Dominguez SEDESA, Mexico, Mexico
  • Ramos, Alfonso, Baxter Mexico, San Jer?nimo Chicahualco, Mexico
Background

Peritonitis is a common complication in patients on peritoneal dialysis and it has become the single most important cause of failure of the technique. The aim of this study is to assess if remote patient monitoring (RPM) allow to detect changes in ultrafiltration (UF) before, during and after a peritonitis episode.

Methods

This report is a retrospective review of a series of cases involving the use of RPM to evaluate UF in Automated Peritoneal Dialysis (APD) patients before, during and after a peritonitis episode. The day of clinical diagnosis of peritonitis was considered day zero. UF volumes from day 7 prior to diagnosis to day 10 after the diagnosis were collected from electronic records of RPM device. For analysis purpose, data were categorized in four groups: Group one: 7 days before the onset of peritonitis; Group 2: One day before the episode; Group 3: Two days after the diagnosis; and Group 4: Days 3-7 after the diagnosis. Group comparison was performed using the Wilcoxon test.

Results

Ten patients were studied, 5 female and 5 male, median age of 48 + 6 years, with a median length of stay in the program of 18 months. The analysis showed a difference in UF between the values measured 1) 7 days before (194 ml) vs the day before the event (-302 ml) (P<0.04); 2) 7 days before (194 ml) vs during the event (-1,062 ml) (p<0.009); and 3) during the peritonitis (-1,062 ml) vs after the peritonitis episode (-319 ml) (p< 0.01)

Conclusion

This is the first report documenting the use of RMP for the detection of minor changes in UF in a group of APD patients, which will allow us to suspect the presence of peritonitis and monitor its progress over time before conventional clinical data are available.