Telemedicine technology and applications for home hemodialysis

Agroyannis, B; Fourtounas, C; Romagnoli, G; Skiadas, M; Tsavdaris, C; Chassomeris, C; Tzanatos, H; Kopelias, I; Lymberopoulos, D; Psarras, J

dc.contributor.author	Agroyannis, B	en
dc.contributor.author	Fourtounas, C	en
dc.contributor.author	Romagnoli, G	en
dc.contributor.author	Skiadas, M	en
dc.contributor.author	Tsavdaris, C	en
dc.contributor.author	Chassomeris, C	en
dc.contributor.author	Tzanatos, H	en
dc.contributor.author	Kopelias, I	en
dc.contributor.author	Lymberopoulos, D	en
dc.contributor.author	Psarras, J	en
dc.date.accessioned	2014-03-01T01:15:17Z
dc.date.available	2014-03-01T01:15:17Z
dc.date.issued	1999	en
dc.identifier.issn	0391-3988	en
dc.identifier.uri	https://dspace.lib.ntua.gr/xmlui/handle/123456789/13408
dc.relation.uri	http://www.scopus.com/inward/record.url?eid=2-s2.0-0032694554&partnerID=40&md5=e7806f440506d6dc753503fe88e9f327	en
dc.subject	Home hemodialysis	en
dc.subject	ISDN	en
dc.subject	Telematics application	en
dc.subject	Telemonitoring	en
dc.subject.classification	Engineering, Biomedical	en
dc.subject.classification	Transplantation	en
dc.subject.other	article	en
dc.subject.other	artificial kidney	en
dc.subject.other	biomedical technology assessment	en
dc.subject.other	blood pressure monitoring	en
dc.subject.other	clinical article	en
dc.subject.other	clinical trial	en
dc.subject.other	computer	en
dc.subject.other	computer assisted therapy	en
dc.subject.other	computer interface	en
dc.subject.other	device	en
dc.subject.other	electrocardiogram	en
dc.subject.other	home dialysis	en
dc.subject.other	human	en
dc.subject.other	kidney disease	en
dc.subject.other	pulse oximetry	en
dc.subject.other	pulse rate	en
dc.subject.other	telecommunication	en
dc.subject.other	Female	en
dc.subject.other	Greece	en
dc.subject.other	Hemodialysis, Home	en
dc.subject.other	Humans	en
dc.subject.other	Kidney Failure, Chronic	en
dc.subject.other	Local Area Networks	en
dc.subject.other	Male	en
dc.subject.other	Monitoring, Physiologic	en
dc.subject.other	Risk Assessment	en
dc.subject.other	Telemedicine	en
dc.subject.other	Treatment Outcome	en
dc.title	Telemedicine technology and applications for home hemodialysis	en
heal.type	journalArticle	en
heal.language	English	en
heal.publicationDate	1999	en
heal.abstract	Home hemodialysis (HD) for the treatment of patients with end-stage renal disease (ESRD) was first put into practice about 30 years ago. In this paper we describe the application of telematics monitoring services (TMS) for supporting patients who need home or satellite HD (SHD). For the clinical trials two modified HD machines were located in the renal unit and a central control station (UNIX workstation with multimedia PC-terminal) was located in another room of the hospital. Bi-directional communication between modified HD machines and central control station was managed via ISDN (Integrated Services Digital Network) links. Using these HD-machines 150 HD sessions were performed in nine patients over a period of five months. This system enabled on-line remote supervision of the HD machine-related functions (air in the blood, leak of blood, low conductivity etc.) and the clinical condition of patients through measurement of blood pressure (BP), pulse rate, PO2 (pulse oxymetry) and electrocardiogram (ECG) from the central control station (CCS). The user checked the type of alarm/warning, its appearance on HD machines and multimedia terminal units (MTU), the action of the protective system and the appearance of consultative messages from CCS on the remote terminal unit RTU. According to the data collected, the disturbances of HD machine function were visible and audible in the CCS and the user messages were always observed on the RTU. No unusual dialysis-associated complications were observed, all data and alarms/warnings were transmitted correctly and patients had adequate HD treatment.	en
heal.publisher	WICHTIG EDITORE	en
heal.journalName	International Journal of Artificial Organs	en
dc.identifier.isi	ISI:000083733800005	en
dc.identifier.volume	22	en
dc.identifier.issue	10	en
dc.identifier.spage	679	en
dc.identifier.epage	683	en