A COVID ‐19 pandemic‐specific, structured care process for peritoneal dialysis patients facilitated by telemedicine: Therapy continuity, prevention, and complications management
| Autor: | Miguel Ángel Cuevas-Budhart, Jhanna Collado, Elianny Polanco, Janny Guzman, Mercedes Aquey, Alfonso Ramos-Sanchez, Erwin Campos, José Carolino Divino-Filho |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Telemedicine Longitudinal study medicine.medical_specialty medicine.medical_treatment 030232 urology & nephrology Peritonitis 030204 cardiovascular system & hematology Peritoneal dialysis Young Adult 03 medical and health sciences 0302 clinical medicine Clinical Protocols COVID‐19 Pandemic Health care medicine Humans Longitudinal Studies Prospective Studies Pandemics Aged Aged 80 and over Protocol (science) SARS-CoV-2 business.industry pandemic Dominican Republic COVID-19 Original Articles Hematology Continuity of Patient Care Middle Aged peritoneal dialysis Nephrology Emergency medicine Female Original Article Observational study Hemodialysis business care process |
| Zdroj: | Therapeutic Apheresis and Dialysis |
| ISSN: | 1744-9987 1744-9979 |
| Popis: | Coronavirus disease 2019 (COVID‐19) has been declared a pandemic. Peritoneal dialysis (PD), being a home therapy, allows for physical distancing measures and movement restrictions. In order to prevent COVID‐19 contagioun among the Dominican Republic National Health System PD program patients, a follow‐up virtual protocol for this group was developed. The aim of this study is to outline the protocol established by the PD program's healthcare team using telemedicine in order to avoid COVID‐19 transmission and to report initial results and outcomes of this initiative. This is an observational prospective longitudinal study with 946 patients being treated in seven centers distributed throughout the country between April 1 and June 30. The protocol was implemented focusing on the patient follow‐up; risk mitigation data were registered and collected from electronic records. During the follow‐up period, 95 catheters were implanted, 64 patients initiated PD, and the remaining were in training. A total of 9532 consultations were given by the different team specialists, with 8720 (91%) virtual and 812 (9%) face‐to‐face consultations. The transfer rate to hemodialysis was 0.29%, whereas the peritonitis rate was 0.11 episode per patient/year. Eighteen adults tested positive for COVID‐19. The implementation of the protocol and telemedicine utilization have ensured follow‐up and monitoring, preserved therapy, controlled complications, and PD lives protected. |
| Databáze: | OpenAIRE |
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