Wound management through quantitative documentation and prediction

项目总结： 我们建议在这项SBIR工作中开发一个移动健康软件系统，供临床医生 方便和/或远程管理和量化记录慢性溃疡的愈合过程 比如糖尿病足溃疡。及时、频繁和准确地记录伤口外观和 这一维度对于成长评估和治疗效果的跟踪至关重要。但是，当前 实践是主观的、不一致的，甚至是侵入性的。没有易于访问、可重复和 量化数据影响医护人员之间的护理协调，阻碍最佳治疗 为个别患者制定计划。对于慢性创面患者，无数的例行探视和曾经的 越来越高的治疗费用也阻碍了他们得到及时治疗的机会，并迫切呼吁 方便的替代方案。 建议的管理软件建立在无缝集成的客户端-服务器框架之上 使临床医生能够轻松地与云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。与可能的其他伤口传感器数据一起，我们的 软件系统提供对伤口组织愈合状态的客观和定量评估，避免 医务人员之间的误解或评分不一致。由于需要收集大量患者数据， 拟议的软件被认为是帮助临床医生进行基于证据的愈合预测和更多 有效的个性化治疗计划。 每年，约有650万美国人患有糖尿病足等慢性伤口 溃疡、压疮和静脉淤积性溃疡。这一数字预计将快速增长，因为 婴儿潮一代人口老龄化，糖尿病和肥胖症急剧上升。慢性伤口愈合是一种 治疗过程漫长，需要数月甚至数年的治疗时间。缺乏个性化的关注可能会 容易引起感染和并发症，导致肢体丧失。有证据表明，80%的 截肢实际上是可以通过获得高质量和常规护理来预防的。永远不变 增加了高昂的医疗费用和提前出院到家庭护理的可能性，患者高度 由于缺乏常规检查或个性化护理，容易出现并发症。所有这些都证实了 迫切需要一种替代的、方便的和低成本的临床实践，因为我们的移动医疗 APP能够提供。

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.