Improved Outcomes in Hemodialysis/Hemodiafiltration Treatments Applying Exercise and Physiological Monitoring Techniques: Preliminary Results

End-stage renal disease affects millions of people worldwide, and the only definitive solutions are renal transplants that are not widely available. Temporary solutions are renal replacement therapies such as peritoneal dialysis, hemodialysis and hemodiafiltration. These therapies as they are applie...

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Bibliographic Details
Published in:	2019 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) Vol. 2019; pp. 5527 - 5530
Main Authors:	del Angel, Francisco Lopez, Azpiroz Leehan, Joaquin, Martinez, Fabiola, Rock, Emilio Sacristan, Moron M., Andres, A., Gerardo Rosas, Fonseca A., Angel, Karla Quevedo, G., De la Rosa, Ana M., M., Miguel Cadena, Mendez, Danilo
Format:	Conference Proceeding Journal Article
Language:	English
Published:	United States IEEE 01-07-2019
Subjects:	Biomedical imaging Biomedical monitoring Blood pressure Diseases Heart rate variability Medical treatment Monitoring
Online Access:	Get full text
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Summary:	End-stage renal disease affects millions of people worldwide, and the only definitive solutions are renal transplants that are not widely available. Temporary solutions are renal replacement therapies such as peritoneal dialysis, hemodialysis and hemodiafiltration. These therapies as they are applied today are just partial measures and have many drawbacks and complications such as high mortality rates and high costs due to the use of supplemental drugs and emergency room visits. Many enhancements to the therapies have been published, but they are not applied consistently in real world practice. Our work presents the results from the systematic application of several techniques to provide individualized therapies that can minimize the drawbacks and improve patient outcomes. This approach is based on the use of exercise, analysis of cardiovascular parameters, such as heart-rate variability, body composition and dry weight measurements through the use of bioimpedance and real-time monitoring of energy expenditure and nutrition intradialytically in order to provide individualized and dynamically variable therapies. Results show that patients can lead long, productive lives while maintaining a quality of life equivalent to that of a renal transplant.
ISSN:	1557-170X 1558-4615
DOI:	10.1109/EMBC.2019.8856363