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- W2099171143 abstract "Background. Nocturnal home hemodialysis (NHD, 6–7 times weekly 6–8 hours) is a promising dialysis modality. On-line distant monitoring is complicated and expensive, and its usefulness should be evaluated. Methods. Since December 2001, 15 patients were included in a Dutch NHD project (‘Nocturne’). So far, 3 patients received a renal transplant. Patients are assisted by their spouses. The dialysis machine is connected through the public telephone network by a bedside node and routers to the server in a call center. All patients received a dedicated ISDN-connection. Alarms produced by the machine are detected in the call center. For each type of alarm, a period is defined during which the patient can solve the problem. When the alarm continues after this period, the call center will notify the patient. Results. During 4 months, approximately 900 alarms in 1300 dialysis treatments were produced. In only 11 of 900 cases, the partner had to wake up the patient because he/she did not hear the alarm. The call center had to call 13 times, always because the patient resumed sleeping after the end of the treatment. No intervention because of serious problems was required. A majority of patients and personnel consider on-line monitoring nevertheless important as it gives a sense of safety. Additionally, nurses use the real-time connection frequently to check running dialysis treatments. Also, the system enables automatic saving of important treatment data in an electronic patient file. The experience so far is used to design a so-called ‘secure bitpipe’ for homecare applications, with emphasis on privacy, safety, security and effectivity. Conclusion. On-line monitoring of NHD may not be crucial, but enables good coaching of patients and gives a sense of safety." @default.
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- W2099171143 date "2003-02-01" @default.
- W2099171143 modified "2023-09-26" @default.
- W2099171143 title "On-line Monitoring of Nocturnal Home Hemodialysis" @default.
- W2099171143 doi "https://doi.org/10.1046/j.1492-7535.2003.01256.x" @default.
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