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A COVID‐19 pandemic‐specific, structured care process for peritoneal dialysis patients facilitated by telemedicine: Therapy continuity, prevention, and complications management

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 foll...

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Autores principales: Polanco, Elianny, Aquey, Mercedes, Collado, Jhanna, Campos, Erwin, Guzman, Janny, Cuevas‐Budhart, Miguel Angel, Divino‐Filho, José Carolino, Ramos‐Sanchez, Alfonso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8014150/
https://www.ncbi.nlm.nih.gov/pubmed/33634948
http://dx.doi.org/10.1111/1744-9987.13635
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author Polanco, Elianny
Aquey, Mercedes
Collado, Jhanna
Campos, Erwin
Guzman, Janny
Cuevas‐Budhart, Miguel Angel
Divino‐Filho, José Carolino
Ramos‐Sanchez, Alfonso
author_facet Polanco, Elianny
Aquey, Mercedes
Collado, Jhanna
Campos, Erwin
Guzman, Janny
Cuevas‐Budhart, Miguel Angel
Divino‐Filho, José Carolino
Ramos‐Sanchez, Alfonso
author_sort Polanco, Elianny
collection PubMed
description 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.
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spelling pubmed-80141502021-04-01 A COVID‐19 pandemic‐specific, structured care process for peritoneal dialysis patients facilitated by telemedicine: Therapy continuity, prevention, and complications management Polanco, Elianny Aquey, Mercedes Collado, Jhanna Campos, Erwin Guzman, Janny Cuevas‐Budhart, Miguel Angel Divino‐Filho, José Carolino Ramos‐Sanchez, Alfonso Ther Apher Dial Original Articles 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. John Wiley & Sons Australia, Ltd 2021-03-17 2021-12 /pmc/articles/PMC8014150/ /pubmed/33634948 http://dx.doi.org/10.1111/1744-9987.13635 Text en © 2021 The Authors. Therapeutic Apheresis and Dialysis published by John Wiley & Sons Australia, Ltd on behalf of International Society for Apheresis, Japanese Society for Apheresis, and Japanese Society for Dialysis Therapy. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Polanco, Elianny
Aquey, Mercedes
Collado, Jhanna
Campos, Erwin
Guzman, Janny
Cuevas‐Budhart, Miguel Angel
Divino‐Filho, José Carolino
Ramos‐Sanchez, Alfonso
A COVID‐19 pandemic‐specific, structured care process for peritoneal dialysis patients facilitated by telemedicine: Therapy continuity, prevention, and complications management
title A COVID‐19 pandemic‐specific, structured care process for peritoneal dialysis patients facilitated by telemedicine: Therapy continuity, prevention, and complications management
title_full A COVID‐19 pandemic‐specific, structured care process for peritoneal dialysis patients facilitated by telemedicine: Therapy continuity, prevention, and complications management
title_fullStr A COVID‐19 pandemic‐specific, structured care process for peritoneal dialysis patients facilitated by telemedicine: Therapy continuity, prevention, and complications management
title_full_unstemmed A COVID‐19 pandemic‐specific, structured care process for peritoneal dialysis patients facilitated by telemedicine: Therapy continuity, prevention, and complications management
title_short A COVID‐19 pandemic‐specific, structured care process for peritoneal dialysis patients facilitated by telemedicine: Therapy continuity, prevention, and complications management
title_sort covid‐19 pandemic‐specific, structured care process for peritoneal dialysis patients facilitated by telemedicine: therapy continuity, prevention, and complications management
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8014150/
https://www.ncbi.nlm.nih.gov/pubmed/33634948
http://dx.doi.org/10.1111/1744-9987.13635
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