Acute Kidney Injury Survivor Remote Patient Monitoring: A Single Center’s Experience and an Effectiveness Evaluation

• Published in: Kidney medicine 2024-11, Vol.6 (11), p.100905, Article 100905
• Main Authors: Charkviani, Mariam, Kattah, Andrea G., Rule, Andrew D., Ferguson, Jennifer A., Mara, Kristin C., Kashani, Kianoush B., May, Heather P., Rosedahl, Jordan K., Reddy, Swetha, Philpot, Lindsey M., Barreto, Erin F.
• Format: Article
• Language: English
• Subjects: acute kidney injury; digital health; health technology; Original Research; remote patient monitoring; Telehealth
• ISSN: 2590-0595; 2590-0595
• DOI: 10.1016/j.xkme.2024.100905

Remote patient monitoring (RPM) could improve the quality and efficiency of acute kidney injury (AKI) survivor care. This study described our experience with AKI RPM and characterized its effectiveness. A cohort study matched 1:3 to historical controls. Patients hospitalized with an episode of AKI who were discharged home and were not treated with dialysis. Participation in an AKI RPM program, which included use of a home vital sign and symptom monitoring technology and weekly in-center laboratory assessments. Risk of unplanned hospital readmission or emergency department (ED) visit within 6 months. Endpoints were assessed using Cox proportional hazards models. Forty of the 49 patients enrolled in AKI RPM (82%) participated in the program after hospital discharge. Seventy three percent of patients experienced one AKI RPM alert, most commonly related to fluid status. Among those with stage 3 AKI, the risk of unplanned readmission or ED visit within 6 months of discharge was not different between AKI RPM patients (n=34) and matched controls (n=102) (HR 1.33 [95% CI, 0.81-2.18]; P=0.27). The incidence of an ED visit without hospitalization was significantly higher in the AKI RPM group (HR 1.95, [95% CI, 1.05-3.62]; P=0.035). The risk of an unplanned readmission or ED visit was higher in those with baseline eGFR