title: Design and development of an impedimetric-based system for the remote monitoring of home-based dialysis patients.
abstract: A key clinical challenge is to determine the desired 'dry weight' of a patient in order to terminate the dialysis procedure at the optimal moment and thus avoid the effects of over- and under-hydration. It has been found that the effects of haemodialysis on patients can be conveniently monitored using whole-body bioimpedance measurements. The identified need of assessing the hydrational status of patients undergoing haemodialysis at home gave rise to the present Dialydom (DIALYse à DOMicile) project. The aim of the project is to develop a convenient miniaturised impedance monitoring device for localised measurements (on the calf) in order to estimate an impedimetric hydrational index of the home-based patient, and to transmit this and other parameters to a remote clinical site. Many challenges must be overcome to develop a robust and valid home-based device. Some of these are presented in the paper.
authors.affiliation: Institut des Nanotechnologies de Lyon, INL-UMR5270, INSA de Lyon, 21 avenue Jean Capelle, 69100 Villeurbanne, France.
authors.forename: Amalric
authors.initials: A
authors.lastname: Montalibet
authors.affiliation: Association pour l'Utilisation du Rein Artificiel dans la région Lyonnaise (AURAL), 124, rue Villon, 69008 Lyon, France.
authors.forename: Walid
authors.initials: W
authors.lastname: Arkouche
authors.affiliation: Institut des Nanotechnologies de Lyon, INL-UMR5270, INSA de Lyon, 21 avenue Jean Capelle, 69100 Villeurbanne, France.
authors.forename: Paco
authors.initials: P
authors.lastname: Bogónez Franco
authors.affiliation: CEA-LETI, Université Grenoble-Alpes, Minatec Campus, 38054 Grenoble, France.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Bonnet
authors.affiliation: BioparHom, 89 rue Pierre et Marie Curie, 73290 La Motte Servolex, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Clarion
authors.affiliation: Institut des Nanotechnologies de Lyon, INL-UMR5270, INSA de Lyon, 21 avenue Jean Capelle, 69100 Villeurbanne, France.
authors.forename: Georges
authors.initials: G
authors.lastname: Delhomme
authors.affiliation: Institut des Nanotechnologies de Lyon, INL-UMR5270, INSA de Lyon, 21 avenue Jean Capelle, 69100 Villeurbanne, France.
authors.forename: Claudine
authors.initials: C
authors.lastname: Géhin
authors.affiliation: CEA-LETI, Université Grenoble-Alpes, Minatec Campus, 38054 Grenoble, France.
authors.forename: Sadok
authors.initials: S
authors.lastname: Gharbi
authors.affiliation: CEA-LETI, Université Grenoble-Alpes, Minatec Campus, 38054 Grenoble, France.
authors.forename: Régis
authors.initials: R
authors.lastname: Guillemaud
authors.affiliation: CEA-LETI, Université Grenoble-Alpes, Minatec Campus, 38054 Grenoble, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Jallon
authors.affiliation: Institut des Nanotechnologies de Lyon, INL-UMR5270, INSA de Lyon, 21 avenue Jean Capelle, 69100 Villeurbanne, France.
authors.forename: Bertrand
authors.initials: B
authors.lastname: Massot
authors.affiliation: CEA-LETI, Université Grenoble-Alpes, Minatec Campus, 38054 Grenoble, France.
authors.forename: Pascale
authors.initials: P
authors.lastname: Pham
authors.affiliation: BioparHom, 89 rue Pierre et Marie Curie, 73290 La Motte Servolex, France.
authors.forename: Eva
authors.initials: E
authors.lastname: Ribbe-Cornet
authors.affiliation: Institut des Nanotechnologies de Lyon, INL-UMR5270, INSA de Lyon, 21 avenue Jean Capelle, 69100 Villeurbanne, France.
authors.forename: Eric
authors.initials: E
authors.lastname: McAdams
mesh_terms: D001823:Body Composition; D001835:Body Weight; D017097:Electric Impedance; D006437:Hemodialysis, Home; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D007866:Leg; D008991:Monitoring, Physiologic / Q000295:instrumentation* / Q000379:methods; D013686:Telemetry; D000076251:Wearable Electronic Devices