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PD telemedicine by DIATELIC : Preliminary results of the largest french pilot study

Jacques Chanliau Pierre-Yves Durand L. Vega Jean-Pierre Thomesse 1 François Charpillet 2 M. Kessler
1 TRIO - Real time and interoperability
INRIA Lorraine, LORIA - Laboratoire Lorrain de Recherche en Informatique et ses Applications
2 MAIA - Autonomous intelligent machine
INRIA Lorraine, LORIA - Laboratoire Lorrain de Recherche en Informatique et ses Applications
Abstract : This paper presents the experience of new generation of telemedicine systems (called DIATELIC) which includes a self-learning "intelligent" expert system detecting hydration disorders. From 2002 each patient starting PD and living in Lorraine (East of France, total population 2.300 000 w) is equipped with a computer station through which he connect himself to a database, to record his daily parameters: weight, pro and decubitus blood pressure, ultrafiltration and tonicity of the dialysate. All the connections are established by secure-internet thanks to a standard web navigator. An integrated e-mail system allows to improve patient-doctor communication. A total of 94 patients studied during a 3-years period. During the study, a total of 3.650 messages were sent and processed. 90 % of them where patient-doctor messages, and 10 % were doctor-doctor messages. The mean delay for response to a patient was 26 hours and to a doctor 22 hours. The hydration status of the PD patients was improved: during the study the mean weight decreased from 66 to 65 Kg and the mean blood pressure decreased from 10 to 9 mmHg. Previously to the study, the mean hospitalization rate of the PD patients was 19 days/year/patient. It showed a dramatic improvement to 10 days/year/patient during the study. The causes of hospitalizations were 60 % not PD related, and only 5 % due to hydration disorders. The large use of telemedicine with PD (DIATELIC) resulted in a dramatic decrease in the global hospitalization rate (and then the global cost of the therapy) and improves the PD patient's follow-up. For users (patients and doctors) it appears now to be as indispensable as the phone.
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https://hal.inria.fr/inria-00114620
Contributor : Najet Boughanmi <>
Submitted on : Friday, November 17, 2006 - 11:17:13 AM
Last modification on : Friday, February 26, 2021 - 3:28:07 PM

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  • HAL Id : inria-00114620, version 1

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Jacques Chanliau, Pierre-Yves Durand, L. Vega, Jean-Pierre Thomesse, François Charpillet, et al.. PD telemedicine by DIATELIC : Preliminary results of the largest french pilot study. 26th Annual Conference on Dialysis, 2006, San Francisco, USA. ⟨inria-00114620⟩

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