A Telemedicine-Based Registration System for the Management of Renal Anemia in Patients on Maintenance Hemodialysis: Multicenter Study

Autor:	Chen Yu, Yi Wang, Junli Zhao, Gengru Jiang, Zhaohui Ni, Qing Yu, Kun Liu, Liming Zhang, Xiuzhi Yu, Shougang Zhuang, Haijiao Jin, Jun Ma, Chun Hu, Junli Zhang, Jianying Niu, Yueyi Deng, Huimin Jin, Shoujun Bai, Ai Peng, Xiaoxia Wang, Xudong Xu, Rong Zhou, Qin Wang, Ying Li, Xiaorong Bao, Xiujuan Zang, Zhiyong Guo, Jianrao Lu, Niansong Wang
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Male medicine.medical_specialty Anemia medicine.medical_treatment Health Informatics Telehealth Hematocrit End stage renal disease chemistry.chemical_compound dialysis registration system Renal Dialysis Internal medicine medicine Humans Dialysis Creatinine Original Paper hemodialysis end-stage renal disease medicine.diagnostic_test business.industry Middle Aged medicine.disease Telemedicine chemistry Chronic Disease Kidney Failure Chronic Female Hemodialysis Hemoglobin business renal anemia
Zdroj:	Journal of Medical Internet Research
ISSN:	1438-8871 1439-4456
Popis:	Background: Renal anemia is one of the most important complications in patients on maintenance hemodialysis (MHD). Telehealth-based dialysis registration systems have the advantage of real-time monitoring and have gradually been applied to the management of chronic diseases. Objective: The objective of our study was to evaluate the impact of a telehealth-based dialysis registration system on patients on MHD in terms of renal anemia control. Methods: The Red China project aimed to develop a dialysis registration system based on the WeChat mobile platform. Demographic and baseline laboratory parameters such as age, gender, primary disease, dialysis age, and baseline creatinine levels were recorded using this system. In addition, the hemoglobin and hematocrit levels were recorded monthly. The platform then generated a hemoglobin and hematocrit statistics report for each hemodialysis center monthly, including the detection rate, target rate, and distribution of hemoglobin and released it to physicians via the WeChat mobile phone app. The physicians were then able to treat the individual’s anemia appropriately by changing the doses of erythropoiesis-stimulating agents or iron use on the basis of this report. We analyzed the demographic and baseline laboratory parameters, detection rate, target rate, and average level and distribution of hemoglobin 28 months after the launch of the project. Results: A total of 8392 patients on MHD from 28 hemodialysis centers in Shanghai were enrolled from June 2015 to October 2017. The detection rate of hemoglobin increased from 54.18% to 73.61% (P
Databáze:	OpenAIRE
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