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Updated: Mar 3, 2026

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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
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Telematics Service for Home and Satellite Hemodialysis
Basil Agroyannis1, Costas Fourtounas1, Gianfranco Romagnoli2
1Department of Nephrology,1.
Summary
Telematics monitoring services effectively support home hemodialysis (HD) patients. The HOMER-D system enabled remote supervision and teleconsultation, ensuring adequate HD treatment without major complications.
Area of Science:
- Nephrology
- Medical Informatics
- Biomedical Engineering
Background:
- Home hemodialysis (HD) is a treatment for end-stage renal disease.
- Telematics offers potential for remote patient support.
Purpose of the Study:
- To describe the application of telematics monitoring services for home HD patients.
- To evaluate the HOMER-D system for remote supervision and teleconsultation.
Main Methods:
- Two modified HD machines and a central control station (CCS) were utilized.
- ISDN links facilitated bidirectional communication.
- Remote monitoring included HD machine functions, blood pressure, pulse rate, PO2, and ECG.
Main Results:
- Nine patients underwent 150 HD sessions over 5 months.
- The HOMER-D system provided on-line remote supervision and teleconsultation.
- All data and alarms were transmitted correctly; no major complications occurred.
Conclusions:
- The HOMER-D system successfully supported home HD patients.
- Telematics monitoring is a viable tool for enhancing HD treatment delivery and patient safety.
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