In an unparalleled field test, selected dialysis patients in Berlin will soon be equipped with a telemedical support system that will enable them to independently perform peritoneal dialysis under daily remote supervision by their doctors.
However, possible complications include undesirable weight gain and fluctuations in blood pressure. To prevent such complications, once a month the doctors treating the case check the PD patient's key medical data regarding factors such as weight and blood pressure, as well as the dialysis data.
However, for elderly patients in particular this interval is too long. As a result, their home PDs frequently have to be discontinued and the dialysis must performed at the hospital.
The new telemedically supported peritoneal dialysis (TAPD) could help make PD safer and more patient-friendly in the future, and at the same time make it usable for a larger number of patients. Siemens' global research unit Corporate Technology is working on TAPD in cooperation with the Vivantes Clinic, the Telemedicine Center Charité (TMCC), Prisma, Tembit, and other partners from the fields of research and industry.
During the field test, a smartphone app lists the key medical data that have been agreed on with the doctor. The app tells the patient how to measure his or her blood pressure, heart rate, blood oxygenation, and ECG, for example. Via a special network node known as the Medibox, the measuring equipment transmits the encrypted values along with a pseudonym to the dialysis center.
The app makes sure that the data has actually reached its destination. This data is subsequently stored in the patient's file on the TMCC server. The doctor checks the key medical and treatment data each day and is also automatically notified of any irregularities. This enables doctors to detect changes in the patient's health earlier than has previously been the case so that the patient can be immediately contacted to prevent complications from occurring.
Dr. Norbert Aschenbrenner | Siemens InnovationNews
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