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Clinical |
Pediatric Nephrology and Hypertension,1 Akron Children's Hospital; Pediatric Nephrology and Hypertension,2 Cleveland Clinic Children's Hospital, Akron, Ohio, USA
Correspondence to: D.H. Chand, Division of Pediatric Nephrology and Hypertension, Akron Children's Hospital, 1 Perkin's Square, Akron, Ohio 44308 USA. dchand{at}chmca.org
Peritoneal dialysis (PD) is the preferred dialysis modality in children,
but it relies on the patient or caregiver to perform dialysis daily at home.
We describe the utilization of a modem transmission system in 2 pediatric PD
patients to improve communication with the dialysis team, monitor compliance
via frequent remote data collection, and decrease dialysis-related
complications. A home dialysis modem was provided for each patient and
connected to the home telephone line by the dialysis nurse. PD treatment data
were transmitted daily to the dialysis unit, records entered into the
patient's electronic medical record, and reviewed by the patient's PD nurse
and/or pediatric nephrologist and adjustments made accordingly. This resulted
in improved medical outcomes specifically related to fluid balance and
cardiovascular health, ultimately facilitating renal transplantation in each
case.
In summary, the use of the ProCard (Baxter Healthcare, Deerfield,
Illinois, USA) has improved the ability to monitor home PD patients
effectively. However, the additional use of the modem to transmit data on a
more frequent basis can further enhance the care of chronic continuous cycling
PD patients and should be considered in more challenging medical
situations.
KEY WORDS: Remote monitoring; modem.
Received 18 September 2007; accepted 12 February 2008.
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