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：
8853002
负责人：
Patrick Lichter
金额：
$ 19.57万
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 2017-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8853002
关键词：
Acute Adult Advocate Affect Appointments and Schedules Bacterial Infections Biomedical Technology Bronchi Bronchioles Caring Cellular Phone Chest Child Chronic Chronic Disease Climate Clinic Visits Clinical Clinics and Hospitals Communities Cystic Fibrosis Data Data Collection Devices Diagnostic Disease Early Diagnosis Education Evaluation Feedback Foundations Frequencies Gland Health Services Health care facility Healthcare Systems High-Frequency Chest Wall Compression Home environment Hospitalization Hospitals Infection Inflammation Inherited Internet Lead Life Lung Manufacturer Name Medical Care Costs Medical Device Methods Minnesota Monitor Montana Mucous body substance Outcome Outpatients Patient Care Patients Phase Population Principal Investigator Provider Pulmonary function tests Quality of life Randomized Clinical Trials Recurrence Research Personnel Resources Respiratory Failure Respiratory physiology Rural Rural Community Secure Services Severities South Dakota Spirometry Sweat Sweating Symptoms System Techniques Testing Thick Transportation Travel United States Virus Diseases Weather Wireless Technology Work Wyoming base cystic fibrosis patients design experience gastrointestinal system human study improved innovation insight medical specialties medication compliance monitoring device phase 2 study programs prototype public health relevance pulmonary function respiratory rural area standard of care therapy adherence usability

项目摘要

DESCRIPTION (provided by applicant): 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 I 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 110 cystic fibrosis centers in the U.S. accredited by the Cystic Fibrosis Foundation with only five in the entire states of Minnesota (1), North/South Dakota (3), 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 I 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.

描述（由适用提供）：美国20％的人口居住在农村社区。在农村地区，居民需要走更大的距离才能获得医疗系统的专业服务。通常，这些农村地区的医疗机构很小，提供的服务有限。通常，由于地理距离，极端天气状况，环境和气候障碍，缺乏公共交通以及挑战道路，农村居民可能受到限制或禁止获得专业医疗服务。在这一阶段的提案中，Koronis Biomedical Technologies（KBT）提案是一种系统，可以通过监测家里的囊性纤维化（CF）患者来克服其中一些障碍。当前，重新发生的CF呼吸道恶化的护理标准包括在发生符号时进入专门的CF诊所或医院进行肺功能评估。肺功能测试可帮助临床医生知道肺功能何时下降。但是，临床医生目前不监测家里的肺功能，临床医生对治疗依从性也没有任何见解。目前，在美国认可的美国有110个囊性纤维化中心，在整个明尼苏达州（1），北/南达科他州（3），蒙大拿州（1）和怀俄明州（0）中仅有5个。在许多情况下，患者长途跋涉到达这些专门的CF中心。拟议的系统创建了一个创新的家庭系统，该系统将农村地区的患者与临床医生联系起来，并在治疗和诊断监测之间提供反馈回路。 I期建议将开发一个Web应用程序，该应用程序将允许安全远程访问肺功能数据和治疗依从性。该系统将提供一种早期发现肺部加重的方法，并减少昂贵和压力的住院和诊所就诊的数量。