Acceso usuarios
Objetivo: Evaluar la eficacia de un modelo de atención integral basado en telemedicina y monitoreo remoto en pacientes con enfermedad renal crónica en hemodiálisis. Metodología: Estudio cuasiexperimental, longitudinal y prospectivo, realizado entre septiembre de 2024 y abril de 2025 en un hospital público de segundo nivel. Se incluyeron 161 pacientes (intervención n = 82; control n = 79). Se evaluaron adherencia (Morisky-Green), complicaciones, reingresos y satisfacción. Resultados: No hubo diferencias significativas en adherencia ni en reingresos. El grupo intervención presentó menor incidencia de complicaciones (14,6% vs. 26,6%; p = 0,037) y mayor satisfacción (56,1% satisfechos o muy satisfechos). Conclusión: La telemedicina con monitoreo remoto se asoció con reducción de complicaciones y mayor satisfacción, apoyando su viabilidad como estrategia complementaria en entornos públicos de segundo nivel.
Objective: To evaluate the effectiveness of a comprehensive care model based on telemedicine and remote monitoring in patients with chronic kidney disease (CKD) undergoing maintenance hemodialysis. Methods: A quasi-experimental, longitudinal, prospective study was conducted between September 2024 and April 2025 at a second-level public hospital in Apodaca, Nuevo León, Mexico. A total of 161 CKD patients were included and assigned to an intervention group (n = 82), followed via a certified telemedicine platform and monitoring devices, or to a control group (n = 79) with conventional care. Outcomes included treatment adherence (Morisky-Green), clinical complications, hospital readmissions and patient satisfaction. Results: No statistically significant differences were observed in adherence or readmissions. The intervention group showed a lower incidence of complications (14.6% vs. 26.6%; p = 0.037) and higher satisfaction (56.1% satisfied or very satisfied). Conclusion: Telemedicine with remote monitoring was associated with fewer complications and higher satisfaction, supporting its feasibility as a complementary strategy in second-level public healthcare settings.
