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KMID : 1102220220410030363
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Kidney Research and Clinical Practice
2022 Volume.41 No. 3 p.363 ~ p.371
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System of integrating biosignals during hemodialysis: the CONTINUAL (Continuous mOnitoriNg viTal sIgN dUring hemodiALysis) registry
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Kim Seon-Mi
Yun Dong-Hwan
Kwon Soon-Il
Lee So-Ryoung
Kim Kwang-Soo
Kim Yong-Chul
Kim Dong-Ki
Oh Kook-Hwan
Joo Kwon-Wook
Lee Hyung-Chul
Jung Chul-Woo
Kim Yon-Su
Han Seung-Seok
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Abstract
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Background: Appropriate monitoring of intradialytic biosignals is essential to minimize adverse outcomes because intradialytic hypotension and arrhythmia are associated with cardiovascular risk in hemodialysis patients. However, a continuous monitoring system for intradialytic biosignals has not yet been developed.
Methods: This study investigated a cloud system that hosted a prospective, open-source registry to monitor and collect intradialytic biosignals, which was named the CONTINUAL (Continuous mOnitoriNg viTal sIgN dUring hemodiALysis) registry. This registry was based on real-time multimodal data acquisition, such as blood pressure, heart rate, electrocardiogram, and photoplethysmogram results.
Results: We analyzed session information from this system for the initial 8 months, including data for some cases with hemodynamic complications such as intradialytic hypotension and arrhythmia.
Conclusion: This biosignal registry provides valuable data that can be applied to conduct epidemiological surveys on hemodynamic complications during hemodialysis and develop artificial intelligence models that predict biosignal changes which can improve patient outcomes.
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KEYWORD
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Biosignal, Cardiac arrhythmias, Hypertension, Hypotension, Renal dialysis
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