06 April 2023 : Clinical Research
Evaluation of the Impact of Remote Monitoring Using the Sharesource Connectivity Platform on Adherence to Automated Peritoneal Dialysis in 51 Patients
Min-Yu Chang12AEF, Po-Jui Chi123ABCD, Hsi-Hao Wang12A, Yi-Che Lee12A, Li-Chun Ho12F, Ching-Fang Wu124CD, Ching-Yang Chen12DF, Hung-Hsiang Liou15AF, Shih-Yuan Hung
16AD*
DOI: 10.12659/MSM.939523
Med Sci Monit 2023; 29:e939523
Table 1 Clinical and laboratory parameters at baseline, after HomeChoice Claria machine and after connection with remote patient monitoring (RPM) system (n=51).
| Clinical and laboratory parameters | Course | |||
|---|---|---|---|---|
| Phase 1: HomeChoice, baseline | Phase 2: HomeChoice Claria without RPM | Phase 3: HomeChoice Claria with RPM | P value | |
| Age (years) | 51.5±12.6 | – | – | – |
| Weight (Kg) | 58 (50.8–73.1) | |||
| Male, n (%) | 31 (60.8) | – | – | – |
| DM, n (%) | 14 (27.5) | – | – | – |
| Hypertension, n (%) | 44 (86.3) | – | – | – |
| CKD etiology | – | – | – | |
| Diabetic nephropathy, n (%) | 11 (21.2) | – | – | – |
| Hypertension, n (%) | 4 (7.7) | – | – | – |
| CIN, n (%) | 12 (23.1) | – | – | – |
| Glomerular disease, n (%) | 15 (28.8) | – | – | – |
| ADPKD, n (%) | 3 (5.8) | – | – | – |
| Others, n (%) | 7 (13.5) | – | – | – |
| PD Vintage (month) | 69.5±39.9 | – | – | – |
| Non-adherence rate (%) | 10.5±26 | 5.1±12.7 | 4.9±13.2 | 0.808 |
| BUN (mg/dL) | 59.4±13.4 | 63.6±13.8 | 65.4±13.4a | 0.004* |
| Serum creatinine (mg/dL) | 12.9±3.3 | 13.3±3.5 | 13.4±3.5 | 0.013* |
| Sodium (meq/L) | 137 (136–140) | 138 (135–140) | 138 (135–141) | 0.916 |
| Potassium (meq/L) | 4.02±0.68 | 4.02±0.55 | 3.63±0.72,a | <0.0001* |
| CRP (mg/dL) | 3.1 (0.7–11.9) | 2.9 (0.7–7.8) | 2.1 (0.9–7.6)a | 0.026* |
| Residual urine volume (ml/day) | 235±509 | 181±413a | 156±360a | 0.01* |
| Residual CCR (ml/min/1.73m) | 0 (0–0.338) | 0 (0–0.3)a | 0 (0–0.172),a | <0.0001* |
| Total Kt/V per week | 2.04 (1.84–2.22) | 1.99 (1.81–2.17) | 1.95 (1.78–2.2) | 0.131 |
| PD Kt/V per week | 1.94±0.33 | 1.9±0.3 | 1.95±0.3 | 0.171 |
| Normally distributed continuous variables are presented as the mean±standard deviation (repeated-measure one-way ANOVA test); variables not normally distributed are presented as median and interquartile range (Friedman test); and categoric variables are presented as number (%). * Values of a b DM – diabetes mellitus; CKD – chronic kidney disease; CIN – chronic interstitial nephritis; ADPKD – autosomal dominant polycystic kidney disease; PD – peritoneal dialysis; BUN – blood urea nitrogen; CRP – C-reactive protein; CCR – creatinine clearance rate. | ||||