Wound management through quantitative documentation and prediction

通过定量记录和预测进行伤口管理

基本信息

批准号：
10469685
负责人：
Steven Yi
金额：
$ 95.05万
依托单位：
XYKEN, LLC
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-01 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10469685
关键词：
3-Dimensional Address Affect Aging Algorithms American Amputation Appearance Area Artificial Intelligence Attention Burn injury Chronic Care Classification Client Clinical Computer software Data Development Diabetes Mellitus Diabetic Foot Ulcer Diagnosis Dimensions Disease Documentation Elderly Epithelial Evaluation Evidence based treatment Feasibility Studies Goals Growth Health Care Costs Health Technology Image Industry Infection Information Management Infrastructure Laboratories Measurement Measures Medical Medical Staff Medical center Methods Mobile Health Application Monitor Necrosis Obesity Outpatients Patients Phase Population Process Quality of Care Secure Sensitivity and Specificity Small Business Innovation Research Grant Stasis Ulcer System Technology Testing Texas Time Tissues Treatment Cost Treatment Effectiveness Treatment Efficacy Universities Venous Visit Visual Perception Wound models acute wound augmented intelligence baby boomer base care coordination checkup examination chronic ulcer chronic wound clinical practice cloud based cloud platform computerized data processing cost data access data exchange data management decubitus ulcer design diabetic digital dimensional analysis empowered evidence base healing individual patient limb loss mHealth patient home care personalized care personalized medicine phase 1 designs programs routine care sensor software systems standard of care success tool treatment planning trend wound wound care wound healing wound treatment

项目摘要

Project Summary: We propose in this SBIR effort to develop a mobile health software system for clinicians to conveniently and/or remotely manage and quantitatively document the healing process of chronic ulcers such as diabetic foot ulcers. Timely, frequent, and accurate documentation on wound appearance and dimension is vital for the growth assessment and tracking of treatment effectiveness. However, current practice is subjective, inconsistent, and even invasive. The absence of easily accessible, repeatable, and quantitative data affects care coordination among the medical staffs and handicaps the best treatment planning for individual patients. For chronic wound sufferers, countless routine visits and the ever increasing high treatment costs also hinders their chance of timely treatment and urgently calls for a convenient alternative. Built on a seamlessly integrated client-server framework, the proposed management software allows clinicians to easily exchange wound data with the cloud server, analyze the wound healing information, and manage patient's treatment. Together with potentially other wound sensor data, our software system offers objective and quantitative assessment on wound tissue healing status, avoiding misinterpretation or inconsistent grading among medical staffers. With large patient data to be collected, the proposed software is perceived to assist clinicians with evidence based healing prediction and more effective personalized treatment planning. Every year, approximately 6.5 million Americans suffer from chronic wounds such as diabetic foot ulcers, pressure ulcers, and venous stasis ulcers. The number is projected to grow rapidly due to the aging baby boomer population and a sharp rise in diabetes and obesity. Chronic wound healing is a lengthy process with months or even years of treatment time. Absence of personalized attention could easily cause infections and complications, leading to loss of limb. Evidence suggests that 80% of amputations are actually preventable through access of good quality and routine care. With the ever increasing high healthcare costs and the likelihood of early discharge to home care, patients are highly vulnerable to complications due to the lack of routine checkup or personalized care. All of these validates the urgent need of an alternative, convenient, and low cost clinical practice as what our mobile health app is able to provide.

项目概要：我们在此 SBIR 工作中建议开发一个移动健康软件系统，供临床医生方便和/或远程管理和定量记录慢性溃疡的愈合过程比如糖尿病足溃疡。及时、频繁、准确地记录伤口外观和维度对于生长评估和治疗效果跟踪至关重要。然而，目前实践是主观的、不一致的，甚至是侵入性的。缺乏易于访问、可重复和定量数据影响医务人员之间的护理协调并妨碍最佳治疗为个别患者制定计划。对于慢性伤口患者来说，无数次的例行就诊和永远的治疗日益高昂的治疗费用也阻碍了他们及时治疗的机会，迫切需要方便的替代方案。所提出的管理软件建立在无缝集成的客户端-服务器框架之上让临床医生轻松与云端服务器交换伤口数据，分析伤口愈合情况信息并管理患者的治疗。与其他潜在的伤口传感器数据一起，我们的软件系统对创面组织愈合状况进行客观、定量的评估，避免医务人员之间的误解或分级不一致。由于需要收集大量患者数据，所提出的软件被认为可以帮助临床医生进行基于证据的愈合预测等有效的个性化治疗计划。每年，大约有 650 万美国人患有糖尿病足等慢性伤口溃疡、压疮和静脉淤滞性溃疡。由于婴儿潮一代人口老龄化以及糖尿病和肥胖症急剧增加。慢性伤口愈合是治疗过程漫长，需要数月甚至数年的时间。缺乏个性化关注可能会容易引起感染和并发症，导致肢体丧失。有证据表明 80% 通过获得高质量的常规护理，截肢实际上是可以预防的。与曾经增加了高昂的医疗费用以及提早出院到家庭护理的可能性，患者高度重视由于缺乏常规检查或个性化护理，容易出现并发症。所有这些都验证了迫切需要一种替代的、方便的、低成本的临床实践，就像我们的移动医疗一样应用程序能够提供。