Dialysis Information Management System

Abstract

To provide a dialysis information management system capable of obtaining an amount of removed water per day in a dialysis treatment executed by combining continuous portable peritoneal dialysis and automatic peritoneal dialysis.SOLUTION: A dialysis information management system 10 for executing information management in a dialysis treatment executed by combining a first dialysis method and a second dialysis method includes: an information acquisition unit 24 for acquiring information on a treatment result in the first dialysis method and information on a treatment result in the second dialysis method; and a calculation unit 26 for automatically calculating an amount of removed water per day by dialysis treatment on the basis of the information on the treatment result in the first dialysis method and the information on the treatment result in the second dialysis method.SELECTED DRAWING: Figure 1

Description

[Technical Field]

[0001] The present invention relates to a dialysis information management system. [Background technology]

[0002] Patent Document 1 below discloses an information processing device that calculates the amount of water removed in continuous ambulatory peritoneal dialysis. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Japanese Patent Application Laid-Open No. 2013-188414 Summary of the Invention [Problem to be solved by the invention]

[0004] In dialysis treatment, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis are sometimes combined. In such cases, the technology disclosed in Patent Document 1 has the problem that it is not possible to calculate the amount of water removed on a daily basis.

[0005] The present invention aims to solve the above-mentioned problems. [Means for solving the problem]

[0006] An aspect of the present invention is a dialysis information management system that manages information in dialysis treatments that combine a first dialysis method in which at least one of a drainage step of draining the dialysis fluid from the peritoneal cavity and a fluid infusion step of injecting the dialysis fluid into the peritoneal cavity is performed manually when exchanging the dialysis fluid in peritoneal dialysis, and a second dialysis method in which the dialysis fluid is exchanged multiple times and both the drainage step and the fluid infusion step are performed automatically when exchanging the dialysis fluid. The system includes an information acquisition unit that acquires information on treatment results for the first dialysis method and information on treatment results for the second dialysis method, and a calculation unit that automatically calculates the amount of water removed per day by the dialysis treatments based on the information on treatment results for the first dialysis method and information on treatment results for the second dialysis method. [Effects of the Invention]

[0007] According to the present invention, the amount of water removed on a daily basis can be automatically calculated in dialysis treatment that combines multiple dialysis methods. [Brief explanation of the drawings]

[0008] [Figure 1] FIG. 1 is a control block diagram of the dialysis information management system. [Figure 2] FIG. 2 is a diagram showing an example of an input form. [Figure 3] 3A, 3B, and 3C are examples of treatment results displayed on the display unit. [Figure 4] FIG. 4 is a diagram for explaining how to read the graph of treatment results displayed on the display unit. DETAILED DESCRIPTION OF THE INVENTION

[0009] [First embodiment] 1 is a control block diagram of a dialysis information management system 10. The dialysis information management system 10 includes an APD device 12, a mobile information terminal 13, and a dialysis information management server 17.

[0010] The dialysis information management system 10 manages information in dialysis treatment in which continuous ambulatory peritoneal dialysis (hereinafter referred to as CAPD) and automated peritoneal dialysis (hereinafter referred to as APD) are performed in combination.

[0011] In CAPD, the patient manually changes the dialysate several times a day. In APD, the APD device 12 automatically changes the dialysate several times a day while the patient sleeps.

[0012] Even in CAPD, the APD device 12 may inject or drain dialysate. For example, while the patient is sleeping, the APD device 12 may drain the last amount of dialysate, and then the APD device 12 may inject dialysate. In this case, the patient wakes up and spends the morning with the dialysate stored, and then manually replaces the dialysate during the daytime, for example. Alternatively, the patient may connect the APD device 12 to the catheter before going to bed, and then manually replace the dialysate during the daytime and drain it using the APD device 12.

[0013] In CAPD, the patient records the results of dialysis treatment (hereinafter referred to as treatment results) when the dialysis fluid is exchanged. The treatment results recorded by the patient include the dwell time of the dialysis fluid, the concentration of the dialysis fluid, the amount of dialysis fluid discharged, the amount of dialysis fluid injected, the amount of body fluid removed, and the state of the discharged dialysis fluid. Hereinafter, the dwell time of the dialysis fluid may be simply referred to as the dwell time. The concentration of the dialysis fluid may be simply referred to as the concentration. The amount of dialysis fluid discharged may be referred to as the drainage volume. The amount of dialysis fluid injected may be referred to as the infusion volume. The amount of body fluid removed may be referred to as the water removal volume.

[0014] In APD, the treatment results are recorded by the APD device 12. The treatment results recorded by the APD device 12 include the retention time, the amount of drainage, the amount of infusion, and the amount of fluid removed. In APD, the patient may record some of the treatment results. The treatment results recorded by the patient include the concentration, the state of the discharged dialysate, and the like.

[0015] The portable information terminal 13 is, for example, a smartphone, a tablet information terminal, or the like. The portable information terminal 13 is owned by the patient. A personal computer or the like may be used instead of the portable information terminal 13. The portable information terminal 13 has an input unit 14 and a display unit 16.

[0016] The input unit 14 is, for example, a touch panel, a keyboard, a pointing device, etc. The input unit 14 is operated by the patient, and thereby the treatment results are input to the dialysis information management system 10.

[0017] The display unit 16 displays an input form, etc. when the patient operates the input unit 14 to input the treatment results. The display unit 16 also displays the treatment results input to the dialysis information management system 10.

[0018] The dialysis information management server 17 is connected to the mobile information terminal 13 via, for example, the Internet. The dialysis information management server 17 includes a calculation unit 18 and a storage unit 20.

[0019] The calculation unit 18 is a processor such as a CPU (Central Processing Unit) or a GPU (Graphics Processing Unit). The calculation unit 18 has an input screen display control unit 22, an information acquisition unit 24, a calculation unit 26, and a treatment result display control unit 28. The input screen display control unit 22, the information acquisition unit 24, the calculation unit 26, and the treatment result display control unit 28 are realized by the calculation unit 18 executing a program stored in the storage unit 20. At least a part of the input screen display control unit 22, the information acquisition unit 24, the calculation unit 26, and the treatment result display control unit 28 may be realized by an integrated circuit such as an ASIC (Application Specific Integrated Circuit) or an FPGA (Field-Programmable Gate Array). At least a part of the input screen display control unit 22, the information acquisition unit 24, the calculation unit 26, and the treatment result display control unit 28 may be realized by an electronic circuit including a discrete device.

[0020] The storage unit 20 is composed of a volatile memory (not shown) and a nonvolatile memory (not shown), which are computer-readable storage media. The volatile memory is, for example, a random access memory (RAM). The nonvolatile memory is, for example, a read-only memory (ROM) or a flash memory. Data and the like are stored in, for example, the volatile memory. Programs, tables, maps, and the like are stored in, for example, the nonvolatile memory. At least a part of the storage unit 20 may be provided in the above-mentioned processor, integrated circuit, etc. At least a part of the storage unit 20 may be installed in a device connected to the dialysis information management system 10 via a network.

[0021] The input screen display control unit 22 transmits a signal of the input form to be displayed on the display unit 16 to the mobile information terminal 13. Based on the received signal, the mobile information terminal 13 displays the input form on the display unit 16. Fig. 2 is a diagram showing an example of the input form. The patient inputs the treatment results according to the input form.

[0022] The input screen display control unit 22 sets an input form for each patient. For example, in CAPD, the amount of infusion is predetermined for each patient. The amount of infusion determined in advance for each patient is set in item (A) of the input form shown in FIG. 2. This can prevent patients from making input errors when entering treatment results.

[0023] Multiple selection buttons are displayed in items (C), (D), and (E) of the input form shown in Figure 2. Patients can easily input treatment results by selecting one selection button for each item.

[0024] In item (B) of the input form shown in Figure 2, a box is displayed where the patient can enter numerical values. By reducing the number of items that require the patient to enter numerical values ​​directly, it is possible to reduce errors in inputting treatment results by the patient.

[0025] 2 shows an input form for inputting information on the results of CAPD treatment, but an input form for inputting information on the results of APD treatment may also be displayed on the display unit 16. In addition, an input form for inputting information such as the patient's weight, the patient's blood pressure, and the meals eaten by the patient may also be displayed on the display unit 16.

[0026] The information acquiring unit 24 acquires information on the CAPD treatment result and information on the APD treatment result. The CAPD treatment result is input by the patient using the input unit 14. The APD treatment result is mainly input from the APD device 12. At least a part of the APD treatment result may be input by the patient using the input unit 14. The CAPD treatment result information and APD treatment result information are stored in the storage unit 20.

[0027] The calculation unit 26 calculates the daily amount of water removed in dialysis treatment. The daily amount of water removed is calculated based on the treatment results of CAPD and APD. The daily amount of water removed is the sum of the daily amount of water removed by CAPD and the daily amount of water removed by APD. The amount of water removed by CAPD is recorded by the patient, and the amount of water removed by APD is recorded by the APD device 12. The dialysis information management system 10 can automatically calculate the daily amount of water removed by CAPD and APD, which are recorded by different entities. The daily amount of water removed calculated by the calculation unit 26 is stored in the memory unit 20.

[0028] The length of one day is generally 24 hours, but can vary by several hours. One day is determined based on the tasks performed at roughly the same time every day in peritoneal dialysis. For example, one day may be defined as the period from when the patient starts APD before going to bed at night to when the patient starts APD the following night before going to bed. The time when APD starts may be, for example, when the patient presses the start switch of the APD device 12. Another day may be defined as the period from when APD ends while the patient is sleeping in the middle of the night to when APD ends while the patient is sleeping the following night. The time when APD ends may be, for example, when the APD device 12 completes the final drainage.

[0029] The treatment result display control unit 28 transmits a signal of the treatment result to be displayed on the display unit 16 to the mobile information terminal 13. The mobile information terminal 13 displays the treatment result on the display unit 16 based on the received signal. Figures 3A, 3B, and 3C are examples of the treatment result displayed on the display unit 16. The graphs shown in Figures 3A, 3B, and 3C show the treatment result in chronological order. The amount of water removed per day calculated by the calculation unit 26 is displayed on the display unit 16.

[0030] Figure 4 is a diagram for explaining how to read the graph of treatment results displayed on the display unit 16. The height of the graph shown in (1) of Figure 4 indicates the amount of fluid injected. The height of the graph shown in (2) of Figure 4 indicates the amount of fluid drained. The height of the graph shown in (3) of Figure 4 indicates the amount of fluid removed. The width of the graph shown in (4) of Figure 4 indicates the retention time.

[0031] This allows the patient to easily understand the change over time in the treatment results by looking at the display displayed on the display unit 16. In addition, the patient can understand the amount of water removed on a daily basis.

[0032] The treatment result display control unit 28 may cause the display unit 16 to display the drainage volume, injection volume, water removal volume, and retention time as numerical values ​​instead of graphs. The treatment result display control unit 28 may cause the display unit 16 to display the water removal volume per day calculated by the calculation unit 26 as a graph or the like.

[0033] [Action and effect] Patients undergoing dialysis treatment using a combination of CAPD and APD handwrite their CAPD and APD treatment results in a dialysis notebook. The notebook has separate pages for recording CAPD and APD treatment results. To calculate the daily fluid removal volume, patients must manually calculate it based on the CAPD and APD treatment results, which are recorded on separate pages. This places a significant burden on patients. Furthermore, there is a high possibility of recording treatment results incorrectly or calculating values ​​incorrectly, resulting in inaccurate recording of treatment results.

[0034] Therefore, in the dialysis information management system 10 of this embodiment, the information acquisition unit 24 acquires information on the CAPD treatment results and information on the APD treatment results. Then, the calculation unit 26 automatically calculates the daily amount of water removal based on the information on the CAPD treatment results and information on the APD treatment results. This reduces the workload on the patient when calculating the daily amount of water removal. Furthermore, calculation errors when calculating the daily amount of water removal can be reduced, and the daily amount of water removal can be accurately recorded.

[0035] Furthermore, in the dialysis information management system 10 of this embodiment, the treatment result display control unit 28 displays the drainage volume, infusion volume, and retention time as graphs on the display unit 16. This allows the patient to easily understand the changes in treatment results over time by looking at the display on the display unit 16.

[0036] Furthermore, in the dialysis information management system 10 of this embodiment, the input screen display control unit 22 sets an input form for each patient. The input screen display control unit 22 displays the input form on the display unit 16. For items in the input form for which information to be entered for each patient is predetermined, the input screen display control unit 22 sets the information for that item. This reduces input errors in the treatment results by patients.

[0037] [Inventions Obtained from the Embodiments] The invention that can be understood from the above embodiment will be described below.

[0038] A dialysis information management system (10) manages information for dialysis treatments that combine a first dialysis method in which at least one of a drainage step of draining the dialysate from the peritoneal cavity and a fluid infusion step of infusing the dialysate into the peritoneal cavity is performed manually during peritoneal dialysis, and a second dialysis method in which the dialysate is exchanged multiple times and both the drainage step and the fluid infusion step are performed automatically during the exchange. The system includes an information acquisition unit (24) that acquires information on treatment results for the first dialysis method and information on treatment results for the second dialysis method, and a calculation unit (26) that automatically calculates the daily volume of fluid removal through the dialysis treatment based on the information on treatment results for the first dialysis method and the information on treatment results for the second dialysis method. This reduces the workload on the patient when calculating the daily volume of fluid removal. It also reduces calculation errors when calculating the daily volume of fluid removal, allowing the daily volume of fluid removal to be accurately recorded.

[0039] The dialysis information management system may further include a treatment result display control unit (28) that causes the display unit (16) to display at least one of the amount of dialysis fluid discharged, the amount of dialysis fluid injected, the retention time of the dialysis fluid in the abdominal cavity, and the amount of water removed. This allows the patient to easily understand the change in treatment result over time by looking at the display on the display unit.

[0040] The dialysis information management system may further include an input screen display control unit (22) that sets an input form for each patient into which the patient inputs information on the treatment results of the first dialysis method and information on the treatment results of the second dialysis method, and displays the input form on a display unit, thereby preventing patients from making input errors in the treatment results.

[0041] In the above-mentioned dialysis information management system, the first dialysis method may be continuous ambulatory peritoneal dialysis, and the second dialysis method may be automated peritoneal dialysis, thereby reducing the workload of calculating the amount of fluid removed per day for patients receiving dialysis treatment using a combination of continuous ambulatory peritoneal dialysis and automated peritoneal dialysis.

[0042] In the dialysis information management system, the one-day unit may be the period from the start of the second dialysis method to the start of the next second dialysis method, or the period from the end of the second dialysis method to the end of the next second dialysis method. This makes it possible to calculate the amount of water removed based on the patient's life cycle. [Explanation of symbols]

[0043] 10...Dialysis information management system 16...Display unit 22...Input screen display control unit 24...Information acquisition unit 26... Calculation unit 28... Treatment result display control unit

Claims

1. a first dialysis method in which at least one of a draining step of draining the dialysis fluid from the peritoneal cavity and a fluid injecting step of injecting the dialysis fluid into the peritoneal cavity is manually performed during replacement of the dialysis fluid in peritoneal dialysis; a second dialysis method in which the dialysis solution is exchanged multiple times, and both the draining step and the injecting step are automatically performed at each exchange; In a dialysis information management system that manages information in dialysis treatment that combines an information acquisition unit that acquires information on treatment results in the first dialysis method and information on treatment results in the second dialysis method; A calculation unit that automatically calculates the amount of water removed by the dialysis treatment on a daily basis based on information on the treatment results of the first dialysis method and information on the treatment results of the second dialysis method; and The one-day unit is the period from the start of the second dialysis method to the start of the next second dialysis method, or the period from the end of the second dialysis method to the end of the next second dialysis method.

2. The dialysis information management system according to claim 1, A dialysis information management system having a treatment result display control unit that displays on a display unit at least one of the amount of dialysis fluid discharged, the amount of dialysis fluid injected, the retention time of the dialysis fluid stored in the abdominal cavity, and the amount of water removed.

3. The dialysis information management system according to claim 1 or 2, a dialysis information management system including an input screen display control unit that sets an input form for each patient into which the patient inputs information on the treatment results of the first dialysis method and information on the treatment results of the second dialysis method, and displays the input forms on a display unit.

4. The dialysis information management system according to any one of claims 1 to 3, the first dialysis method is continuous ambulatory peritoneal dialysis; The dialysis information management system, wherein the second dialysis method is automated peritoneal dialysis.

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