#4753 TELEDIALYSIS: THE FIRST NORTHEAST ITALY EXPERIENCE OF TELEHEALTH IN PERITONEAL DIALYIS PATIENTS

Abstract Background and Aims During Covid19 epidemic, International Society of Peritoneal Dialysis recommend “ People on PD should stay at home. Hospital visits be minimized for only urgent indications. Consultations otherwise conducted by telehealth”. In 2021 in Italy Government enforce plan to develop Telehealth create a new Nephrology home model provide better oversight care with remote monitoring.Telehealth has been used manage patients chronic kidney disease (CKD) demonstrated equal outcomes CKD either in-person or virtual visits. also help facilitate patient education about dialysis modalities self-care, especially peritoneal setting (PD). We report the first experience Northeast Teledialysis, combination technique technology devices that we together overcome clinical, social psychological barriers PD. Method our pilot study, enrolled 12 consecutive Automated (APD) from program “San Bassiano Hospital”, Bassano del Grappa, Vi, Italy. Teledialysis was perform two systems: 1- A Web platform Sharesource (Baxter Renal ®) mod-M added APD device supports management through secure communication can allows details treatment clinician ability act assessment updating cycler. 2-Totem eVISUS System (TesiSquare®) is plug play system consisting units: a) transportable station patient's (Totem) equipped high performance camera, touchscreen monitor, speaker microphone hand free computers, internet routers fixed mobile phone, wireless access point control answer calls remotely b) Control Station (in Hospital) simple use mouse form healthcare personnel connect one more same time check Totem Camera. (Figure 1) Figure 1:The System: control; 2) control. 3) Central hospital evaluation. day sessions sharesource support medications catheter exit-site monitoring instructions training; clinical evaluation status, effluent color aid givers session management. Results an observation period 11 months (4m/8F) average age 73 yrs; cognitive impairment, diabetes, hypertension, heart failure peripheral vascular (PVD) were common comorbidities (see 2). 2:Characteristcs patients. 60 teledialysis duration 26’ minutes. don’t detect any exit Site Infection (ESI), Tunnel infection Peritonits population; none require urgently emergency room admission. Only once suggest department fever dyspnea week hospitalization acute bacterial pneumonia. (Table Conclusion Our preliminary results shown safe, reliable, flexible effective easy patients; assert really nephrologist improve select avoid fear failure. promote real integration between territory pathway.