Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Authors (including presenting author) :
Chan SKV(1), Tsang KY(1), Cheung WY(1), Wong WY(1)
Affiliation :
(1) Department of Medicine, Yan Chai Hospital
Introduction :
The SHARESOURCE platform is designed to save and upload data, therapy outcome and alarms during APD therapy automatically. Hence, the healthcare providers could access and view all the data easily and precisely anytime. By using Homechoice Claria APD system with the SHARESOURCE as a remote monitoring (RM), the effectiveness of the treatment plan and the clinical outcomes had shown benefits and RM favored the physicians, patients and the renal nurses
Objectives :
To explore the enhancement of APD efficacy in home APD patients by using RM in YCH renal unit
Methodology :
Total 40 stable APD patients in YCH were recruited. They were divided into two groups, 20 patients using the Homechoice Claria APD system with RM was in Group A and 20 patients using APD without RM was in Group B respectively. A retrospective cohort study was carried out in Yan Chai Hospital Renal Unit. This study had monitored these 40 APD patients for a 6 months’ period, from June 2022 to December 2022. Verbal consents were obtained. Data of these patients were collected. The outcomes (the number of emergency visits, admission rate and length of stay in hospital) among these patients were compared and analyzed. The number of early interventions taken and the reasons was also analyzed in these two groups.
Result & Outcome :
1: To monitor and collect the APD treatment outcomes by using SHARESOURCE remotely. 2: To early detect problems in APD therapy and resolve problems correspondingly. 3: To minimize admission rate and length of stay in hospital. 4: To improve efficacy and adherence of dialysis patients by using SHARESOURCE. 5: To adjust patients’ home APD treatment remotely with early intervention without calling back patients to clinic In our study, early interventions carried out for Group A patients were approximately 6 times higher than Group B and the number of emergency visits was lower in Group A than Group B. Thus, the total admission rate was also lower in Group A (n=12) than in Group B (n=24). Besides, there were 5 APD patients in Group A skipped their dialysis within the study period and renal nurses acted immediately by phone calls. Thus, the SHARESOURCE RM helped to increase patients’ compliance and adherence to dialysis treatment plans. To conclude, the treatment details and dialysis-related data were visible and easily accessible in APD patients with the use of APD system with SHARESOURCE as a remote monitoring. Early interventions could be delivered more promptly through telephone. Therefore, the clinical outcomes and hydration status of these patients would be improved with evidence by decreased numbers of emergency visits, admission rate and length of stay in hospital.
