Nephrology and Dialysis, "Michele e Pietro Ferrero" Hospital, Verduno (CN), Italy.
Nephrology and Dialysis, Cagliari Local Health Authority, Quartu Sant'Elena.
G Ital Nefrol. 2022 Aug 29;39(4):2022-vol4.
Conceived and developed since 2001 at the Alba Center, Videodialysis (VD) was used initially to prevent dropout in prevalent PD patients by guiding them in performing dialysis (VD-Caregiver). Subsequently, its use was extended to the clinical follow-up of critical patients (VD-Clinical), problems relating to transport to the Center (VD-Transport), and since 2016 for training/retraining all patients (VD-Training). Since 2017 other Centers have employed VD using modalities analyzed in this paper. the paper reports the findings of an Audit (February 2021) of the Centers using VD on 31-12-2020. The Centers provided the following information: the characteristics of the patients using VD; the main and secondary reasons for using VD, considering nursing home (VD-NH) patients separately; VD outcomes: duration, drop-out, peritonitis, patient/caregiver satisfaction (minimum: 1 - maximum: 10). VD, which began between 09-2017 and 12-2019, has been used in 6 Centers for 54 patients at 31-12-2020 (age:71.8±12.6 years - M:53.7% - CAPD:61.1% - Assisted PD:70.3%). The most frequent reason has been VD-Training (70.4%), followed by VD-Caregiver (16.7%), VD-NH (7.4%), VD-Clinical (3.7%), and VD-Transport (1.9%), with differences between Centers. VD-Training is used most with self-care patients (93.8% - p<0.05), while with patients on Assisted PD it is associated with secondary reasons (95.7% - p<0.02). VD-Training (duration: 1-4 weeks) has always been completed successfully. No peritonitis was reported; satisfaction was 8.4±1.4. videodialysis is a flexible, effective, safe, and valued tool that can be employed using various modalities depending on the choice of the Center and the complexity of the patient.
自 2001 年在 Alba 中心构思和开发以来，视频透析（VD）最初被用于通过指导患者进行透析来防止流行 PD 患者的辍学（VD-护理人员）。随后，它的使用范围扩大到了对重症患者的临床随访（VD-Clinical）、与中心转运相关的问题（VD-Transport），以及自 2016 年以来用于培训/再培训所有患者（VD-Training）。自 2017 年以来，其他中心也采用了本文分析的模式使用 VD。本文报告了 2021 年 2 月对使用 VD 的中心进行的审核（2020 年 12 月 31 日）的结果。各中心提供了以下信息：使用 VD 的患者特征；考虑到疗养院患者（VD-NH），使用 VD 的主要和次要原因；VD 结果：持续时间、辍学、腹膜炎、患者/护理人员满意度（最低：1-最高：10）。VD 始于 2017 年 9 月至 2019 年 12 月，在 2020 年 12 月 31 日，6 个中心有 54 名患者使用了 VD（年龄：71.8±12.6 岁-M：53.7%-CAPD：61.1%-辅助 PD：70.3%）。最常见的原因是 VD-Training（70.4%），其次是 VD-Caregiver（16.7%）、VD-NH（7.4%）、VD-Clinical（3.7%）和 VD-Transport（1.9%），各中心之间存在差异。VD-Training 主要用于自理患者（93.8%-p<0.05），而对于接受辅助 PD 的患者，它与次要原因相关（95.7%-p<0.02）。VD-Training（持续时间：1-4 周）始终成功完成。未报告腹膜炎；满意度为 8.4±1.4。视频透析是一种灵活、有效、安全且有价值的工具，可以根据中心的选择和患者的复杂性采用不同的模式进行使用。
