Cystic Fibrosis Remote Monitoring System to Support Resource-Limited Communities

囊性纤维化远程监测系统支持资源有限的社区

基本信息

批准号：
9439668
负责人：
Patrick Lichter
金额：
$ 59.68万
依托单位：
KORONIS BIOMEDICAL TECHNOLOGIES CORPORAT
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-04-02 至 2019-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9439668
关键词：
Accreditation Acute Adherence Adult Advocate Affect Appointments and Schedules Bacterial Infections Biomedical Technology Bronchi Bronchioles Caring Case Management Cellular Phone Chest Child Chronic Chronic Disease Climate Clinic Visits Clinical Management Clinics and Hospitals Communication Communities Cystic Fibrosis Data Devices Diagnostic Disease Early Diagnosis Ecosystem Education Evaluation Feedback Focus Groups Foundations Frequencies Geography Gland Goals Health care facility Healthcare Systems High-Frequency Chest Wall Compression Home environment Hospitalization Hospitals Infection Inflammation Inherited Internet Lung Medical Care Costs Medical Device Methods Minnesota Monitor Montana Mucous body substance Outpatients Patient Care Patients Performance Phase Pilot Projects Population Process Provider Pulmonary function tests Quality of life Recurrence Regimen Resources Respiratory Failure Respiratory physiology Rural Rural Community Secure Services Severities South Dakota Spirometry Sweat Symptoms System Techniques Testing Thick Transportation Travel United States Universities Virus Diseases Weather Wireless Technology Work Wyoming base cloud based cost cystic fibrosis patients design gastrointestinal system health care service innovation insight iterative design medical specialties monitoring device programs pulmonary function repository respiratory rural area standard of care therapy adherence tool trend usability verification and validation web app

项目摘要

Abstract Twenty percent of the U.S. population resides in rural communities. In rural areas, residents need to travel greater distances to access specialty services of the healthcare system. Typically, healthcare facilities in these rural areas are small and provide limited services. Often, due to geographic distance, extreme weather conditions, environmental and climatic barriers, lack of public transportation, and challenging roads, rural residents may be limited or prohibited from accessing specialty health care services. In this phase II proposal, Koronis Biomedical Technologies (KBT) proposes a system to overcome some of these barriers by monitoring cystic fibrosis (CF) patients at home. Currently, the standard of care for reoccurring CF respiratory exacerbations includes coming to a specialized CF clinic or the hospital for pulmonary function evaluation when symptoms occur. Pulmonary function tests help clinicians know when lung function has declined. However, clinicians currently do not monitor lung function at home, nor do clinicians have any insight on therapy adherence. There are currently 120 CF centers in the U.S. accredited by the Cystic Fibrosis Foundation with only five in the entire states of Minnesota (2), North/South Dakota (2), Montana (1) and Wyoming (0). In many cases, patients travel a long distance to reach these specialized CF centers. The proposed system creates an innovative home system that connects patients in rural areas with clinicians and provides a feedback loop between therapy and diagnostic monitoring. The phase II proposal will develop a web application that will allow secure remote access to pulmonary function data and therapy adherence. This system will provide a means of early detection of pulmonary exacerbation and reducing the number of costly and stressful hospitalizations and clinic visits.

抽象的百分之二十的美国人口居住在农村社区。在农村地区，居民需要出行获得医疗保健系统专业服务的距离更远。通常，这些地区的医疗机构农村地区面积较小，提供的服务有限。通常，由于地理距离、极端天气农村地区的条件、环境和气候障碍、缺乏公共交通以及具有挑战性的道路居民可能被限制或禁止获得专业医疗保健服务。在这个第二阶段提案中， Koronis Biomedical Technologies (KBT) 提出了一种系统，通过监控来克服其中一些障碍家中的囊性纤维化（CF）患者。目前，复发性 CF 呼吸系统疾病的护理标准病情加重包括前往专门的 CF 诊所或医院进行肺功能评估当症状出现时。肺功能测试可以帮助临床医生了解肺功能何时下降。然而，临床医生目前并不在家中监测肺功能，也没有任何见解治疗依从性。目前美国有 120 个获得囊性纤维化协会认可的囊性纤维化中心基金会在明尼苏达州 (2)、北/南达科他州 (2)、蒙大拿州 (1) 和怀俄明州 (0)。在许多情况下，患者需要长途跋涉才能到达这些专门的囊性纤维化中心。这拟议的系统创建了一个创新的家庭系统，将农村地区的患者与临床医生联系起来，在治疗和诊断监测之间提供反馈回路。第二阶段提案将开发一个网络应用程序将允许安全地远程访问肺功能数据和治疗依从性。这该系统将提供一种早期发现肺部病情恶化并减少昂贵的治疗次数的方法以及紧张的住院和就诊。