The role of PKG in patients' care during the pandemic


By Dr Hardi Hassan, Consultant Geriatrician, Birmingham Heartlands Hospital

Runner-up

This project was awarded runner-up .

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Poster

Aim

To assess the feasibility and limitations of the Parkinson’s KinetiGraph (PKG) service in the remote assessment of people with Parkinson’s disease (PD).

Headlines

The PKG is a small device worn on the wrist that collects data on motor symptoms and complications over six to 10 days. It provides healthcare teams with a report on how symptoms such as slowness of movement, stiffness, tremor, and dyskinesias vary throughout the day.

This poster said:

  • Although face-to-face clinics are more people with complex PD, combining video calls and PKG allow this vulnerable group to be monitored remotely when necessary
  • Studies have shown concordance between objective face-to-face assessments and self-reporting when the patient has the appropriate tools
  • Clinicians can miss the “bigger picture” of PD symptoms during an in-person appointment, particularly in more advanced disease. PKG can accurately reflect motor symptom control and inform management strategies

Key findings

  • Since March 2020, 88 people have had a telephone appointment and 27 have been seen face to face
  • Among these, 22 PKGs were requested, 15 were completed, and 13 reported with reliable data
  • Of those who reported with reliable data, eight have had subsequent consultations which have had a significant impact on management
  • Five are awaiting review. Of these, two sadly have died.

Recommendations

PKG has the potential to close the gap between the variable approaches to symptom monitoring and treatment. It is non-invasive and can potentially provide a reliable remote monitoring model that eradicates arduous trips to the hospital.

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