Abstract: TH-PO308
Use of a Remote Monitoring System to Know the Peritoneal Dialysis Prescription Patterns
Session Information
- Peritoneal Dialysis: CVD, Fluid, Nutrition
November 07, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 703 Dialysis: Peritoneal Dialysis
Author
- Paniagua, Ramón, Instituto Mexicano del Seguro Social, Mexico City, Mexico
Background
Remote Monitoring (RM) is a new tool recently incorporated in the follow-up of Peritoneal Dialysis (PD) patients; it facilitates a more close and personalized surveillance of patients and take proactive behavior about preventable complication of the treatment. RM also can be used to know how Nephrologist prescribes PD and if prescription is appropriate for the clinical characteristics of patients.
Methods
A cohort of 227 patients starting PD with RM system were analyzed for prescription, this includes dray or wet day, time of nocturnal dialysis, number of exchanges, volume per dwell, and effective time of dialysis.
Results
Total dialysis volume was <10L in 34.4%, 10L in 34.8%, and >10L in 30.8%. Time of dialysis was <8hr in 2.6%, 9hr in 79.7%, and >9hr in 27.6%. Volume of nocturnal exchanges was <3 in 1%, 4 in 61.7%, and >5 in 37.4%. Volume/exchange was <2.0L in 11.9%, 2.0L in 57.7%, and >2.0L in 30.4%. Effective time of dialysis increased with the hours of dialysis, however, for the same number of hours it did not increase with more than 5 cycles.
Conclusion
Prescription patterns tend to a uniform schedule; however, the use of more than 5 cycles/night does not offer advantages since it does not increase the effective time of dialysis.
Funding
- Commercial Support –