The Effect of a Novel Follow-up Mode Integrating Specialist Nurse-Led Care and an Intelligent Platform on Peritoneal Dialysis Patients
Year: 2025
Type: article
Abstract: Purpose: To evaluate the effect of a novel follow-up mode integrating specialist nurse-led care and an intelligent platform on fluid volume management in patients with end-stage renal disease (ESRD) undergoing peritoneal dialysis (PD). Patients and Methods: A pre- and post-observational clinical cohort of 80 PD patients (Shanghai General Hospital South, Mar 2020–Mar 2021) evaluated the 12-month impact of the novel mode on fluid volume overload (FVL), cardiac function, laboratory indicators (including biochemical parameters and electrolytes), and clinically relevant complications (peritonitis, exit-site/tunnel infection and catheter displacement). Results: After 12 months of follow-up using the novel mode, significant improvements were observed compared to the traditional follow-up approach. Specifically, levels of B-type natriuretic peptide (BNP) (144.12± 14.21 vs 631.01± 104.21 pg/mL, P < 0.001), systolic blood pressure (SBP) (136.99± 12.04 vs 145.34± 15.22 mmHg, P < 0.001), and diastolic blood pressure (DBP) (79.03± 6.35 vs 84.87± 8.17 mmHg, P < 0.01) were significantly lower in patients managed with the novel mode. Additionally, blood calcium (2.24± 0.52 vs 2.18± 0.02 pg/mL, P < 0.05), phosphorus (1.96± 0.07 vs 1.80± 0.06 mmol/L, P < 0.01), parathyroid hormone (PTH) (409.28± 43.49 vs 250.84± 23.26 pg/mL, P < 0.001), and albumin (38.89± 0.60 vs 36.25± 0.51 pg/mL, P < 0.001) levels were higher following implementation of the novel mode. FVL and cardiac function also showed significant improvement over the 12-months follow-up period. Notably, compared with the preceding 12-month control period, the platform-based follow-up reduced clinically relevant infectious complications from 10.3% to 3.8% (McNemar mid-p = 0.077). Conclusion: The novel follow-up mode effectively reduced fluid volume overload and improved cardiac function, offering clinical benefits for PD patients. Keywords: end-stage renal disease, peritoneal dialysis, novel follow-up mode, nurse-led care, intelligent platform, fluid volume overload
Authors: Ji Wang, Jian Chang, Qing Yu, Jun Liu, Zhihuang Zheng, Jinfang Bao
Language: English
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,320
OpenAlex ID: W4414848138