Related Experiment Video
Updated: Feb 25, 2026
07:13
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
5.3K
Telemedicine versus Face-to-Face Follow-Up in Post-Acute Kidney Injury Survivors: A Pilot Randomized Controlled Trial
Peerapat Thanapongsatorn1,2, Emwalee Piti3, Massupa Krisem4
1Division of Nephrology, Department of Medicine, Faculty of Medicine, Thammasat University Hospital, Pathum Thani, Thailand.
Kidney360
|February 23, 2026
Summary
Telemedicine follow-up for acute kidney injury (AKI) survivors is feasible, showing similar adherence to in-person visits. However, virtual care requires improved lab monitoring despite reduced patient travel and wait times.
Area of Science:
- Nephrology
- Digital Health
- Health Services Research
Background:
- Post-acute kidney injury (AKI) care requires regular nephrologist follow-up.
- Accessibility barriers limit care continuity for remote or comorbid AKI survivors.
- Telemedicine presents a potential solution for AKI follow-up, but evidence is scarce.
Purpose of the Study:
- To evaluate the feasibility of telemedicine for post-acute kidney injury (AKI) follow-up.
- To compare telemedicine with conventional face-to-face follow-up for AKI survivors.
- To assess clinical and patient-centered outcomes of virtual vs. in-person AKI care.
Main Methods:
- A single-center randomized controlled trial compared telemedicine (TUH Telemed app) with face-to-face follow-up for 6 months.
- Adults with stage II-III AKI living ≥15 km from the hospital were enrolled.
- Feasibility was measured by follow-up adherence, serum creatinine, and blood pressure monitoring.
Main Results:
- Follow-up adherence was comparable: 90% in both telemedicine and face-to-face groups.
- Blood pressure measurement rates were similar (92% vs. 100%).
- Serum creatinine measurement was significantly lower in the telemedicine group (58% vs. 100%).
- Telemedicine significantly reduced travel time, waiting time, and costs.
- Patient satisfaction was high in both groups (9.2 vs. 9.1).
Conclusions:
- Telemedicine follow-up for AKI survivors is feasible, demonstrating comparable adherence to conventional care.
- Lower laboratory monitoring rates in telemedicine highlight an implementation challenge.
- Telemedicine offers benefits in reduced patient travel and waiting times, with high satisfaction.
Related Concept Videos
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
370
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
370
01:20Acute Kidney Injury V: Interprofessional Care
380
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
380
01:22Acute Kidney Injury I: Introduction
880
Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
880
01:28Chronic Kidney Disease III: Interprofessional Care
503
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
503
01:22Acute Kidney Injury VI: Nursing Management
541
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
541
01:29Acute Kidney Injury II: Pathophysiology
1.3K
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
1.3K