BIS is a simple, applicable technique for calculating V in dialysis that can be especially useful in PD patients compared with the anthropometric formulas, by the abnormally distributed body water in these patients. Other parameters obtained by BIS will serve to assess both the distribution of body volume and nutritional status in the clinical setting. The target Kt value obtained from Kt/V bis allowed us to measure the efficacy of PD in a practical way, omitting V measurement.
There are significant differences in the V of PD Unit patients when obtained by Watson formula or by BIS. A difference between the measurements is associated with the presence of DM, HTN, hypoalbuminaemia, obesity, malnutrition, inflammation, E/I ratio ≥1 and the absence of residual diuresis.
Background and Aims
New technologies have advanced diagnostic techniques and enabled patient self-information, nonetheless, they can become a weapon of misinformation if not used appropriately.
Online health resources utilization, gamification and the appearance of new specialized Apps are becoming a challenge in the quest for correct use of new technologies in the Nephrological field and in the patient empowerment process.
Aims
1st Phase: Determine how frequent medical information is searched for online, the main topics and the different sources of information used by PD patients in our Service of Nephrology.
Method
Observational prospective study using a cohort of patients from PD Unit (pre dialysis and on dialysis). First, an online survey was used in order to obtain demographic variables and to determine the use of different sources of information and their quality. Secondly, patients were instructed in ICTs via virtual desktop as well as in two live workshops.
Results
52 patients (37 men, 15 women). Mean age: 61.7 years. Academic level (elementary school: 20). Place of residence (urban: 65.4%). 48% never uses the internet. From the rest: 68% searches in a regular manner for health-related issues, with “Google” being the main search engine (77.8%). 100% have searched for their own illnesses, 72.2% consider the information found not completely reliable. 61% looks for information before and after the clinical encounter. 72.2% have asked other patients about nephrological health related issues, while 27.8% have given counsel of said issues to others. 86.5% doesn’t use health related Apps and only 5.8% use blogs. Among the variables analysed, differences where found in being older age and less use of internet (ANOVA test p<0.001) and with lower cultural level and less use of new technologies (Chi-squared test p<0.001).
Conclusion
The analysed data show that nowadays we face two main problems in our PD unit: Generational digital divide we have patients who have not incorporated into their lives the use of new technologies, in contraposition to others who use them in regular bases.
Guarantee that those who use digital resources can access them in a simple and trustworthy manner.
Therefore, we believe that the second phase of this project, both the workshops and the virtual desktop, are tools that can help fix these problems.
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