Abstract: FR-PO503
Analysis of an On-Call Peritoneal Dialysis Support in an Outpatient Reference Care Center
Session Information
- Peritoneal Dialysis: Current Topics
November 04, 2022 | Location: Exhibit Hall, Orange County Convention Center‚ West Building
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 702 Dialysis: Home Dialysis and Peritoneal Dialysis
Authors
- Albert, Christian, Diaverum Deutschland GmbH, Potsdam, Brandenburg, Germany
- Kalk, Philipp, Diaverum Deutschland GmbH, Potsdam, Brandenburg, Germany
- Woitas, Rainer P., Diaverum Deutschland GmbH, Potsdam, Brandenburg, Germany
- Albert, Annemarie, Diaverum Deutschland GmbH, Potsdam, Brandenburg, Germany
Background
To analyze the nature of medical or technical emergency issues of ambulatory peritoneal dialysis (PD) patients calling an after-hours emergency support of a PD reference center that is provided all year.
Methods
We retrospectively analyzed patient issues directed to an on-call PD support service comprising complete years from 2015-2021. Calls were systematically categorized being technical/procedural-, medical-, material-related or type of correspondence and analyzed for necessity and urgency. Patients’ chief complaint, resolution and association to current PD treatment and modality were documented in protocols. Call outcomes were classified according to whether patients were able to initiate/resume/finalize their treatments or whether additional interventions were required.
Results
In total 753 calls were categorized and evaluated. Of those, 51% (N=384) were related to technical issues, 12.35% (N=93) to medical, 10.62% (N=80) to material related issues and 19,21% (N=144) were other correspondences. 6.24% (N=47) were associated with (intermittent)-PD performed in a teaching hospital. Calls peaked at 6:49 a.m. and 6:28 p.m. (each ± 2:36 hours). We identified 504 calls (66.9% of total calls) with an “immediate consequence”. Of those 69.4% (N=350 calls) were technical/procedural issues, 11.3% (N=57) medical, and 5.6% (N=28) material related and 4.6% (N=23) were categorized as other correspondence. Calls regarding I-PD performed in a teaching hospital (N=47) were labeled as urgent, usually performed perioperatively, or being associated with treating peritonitis on the ICU and normal ward. Issues disrupting the course of PD were identified in 481 cases. In 79.83% (N=384) patients were able to initiate, resume or finalize their treatment after phone consultation. Last-bag exchange was used in 5.2% enabling continued therapy in 85.03% of such cases. In 35 cases, the patient was supposed to visit the center at the earliest possible time while acute hospitalization was required in eight cases (4.65%/1.06% of total calls, respectively).
Conclusion
In the majority of calls, the on-call PD service provides patients sufficient and adequate support for acute and imminent issues enabling patients to successfully continue, resume or finalize their prescribed treatment. Medical support amends risk of or averting adverse events considerably.