Chronic Kidney Disease; In a pilot study of patients with chronic kidney disease (CKD), wearing a medical-alert bracelet or necklace was associated with a lower risk of developing kidney failure compare with usual care. The findings, which appear in an upcoming issue of CJASN; so call for a randomize trial to fully evaluate the promise of medical-alert accessories for individuals with kidney dysfunction.
Chronic kidney disease
The term “chronic kidney disease” means lasting damage to the kidneys that can get worse over time. If the damage is very bad, your kidneys may stop working. This is called kidney failure, or end-stage renal disease (ESRD). If your kidneys fail, you will need dialysis or a kidney transplant in order to live.
Medical-alert accessories typically a bracelet can help transmit critical information; so to a healthcare providers, especially when the wearer is not able to reliably communicate. No studies have examine the role of a medical-alert accessory in changing providers’ awareness of CKD; hence their delivery of care, or the health outcomes of patients with CKD.
To investigate, Jeffrey Fink MD (University of Maryland School of Medicine) conduct a study of 350 patients with stage 2-5, pre-dialysis CKD. “Since CKD is not often apparent to providers without appropriate blood testing; so they thought providing patients with a medical-alert accessory with indication of their CKD; so might serve as an alert to their special care needs,” said Dr. Fink.
Medical alert bracelet
The first (pilot) 108 participants give a medical alert bracelet or necklace indicating the diagnosis of CKD; also displaying a website with safe CKD practices. A subsequent (observation) group of 242 patients receive usual care. All participants underwent annual visits to determine the frequency of safety events and adverse outcomes.
The median follow-up of pilot and observation groups were 4.3 and 3.1 years, respectively. The frequency of safety events—or unintended harm from medical therapy report; so at annual visits was not different in the pilot vs. observation groups. Wearing a medical-alert accessory was link with a 62% lower risk of developing kidney failure, after adjustments. There was no significant difference in rates of hospitalization or death in the medical-alert accessory users and the observation group.
They were hoping to show that provision of the accessory might show a reduction; so in adverse safety events but this was not the case in this relatively small sample. Hence any potential reduction in poor outcomes associate with the medical alert; so accessory did not appear to be mediate through a reduction in safety events,” said Dr. Fink. “However, this pilot study suggests that provision of the medical-alert accessory has the potential to lead to improve outcomes like reduced incidence of end-stage kidney disease.”