Home Pediatric Critical Care Intervention to Reduce Hospitalization

家庭儿科重症监护干预以减少住院率

• 批准号: 7324534
• 负责人: DANIEL S HEDIN
• 金额: $ 10万
• 依托单位: ADVANCED MEDICAL ELECTRONICS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-28 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7324534
• 关键词: Acute; Admission activity; Affect; Blood; Caregivers; Caring; Child; Child Support; Childhood; Chronic; Chronic Care; Chronic Disease; Chronically Ill; Clinic; Clinical; Computer Systems Development; Critical Care; Critical Illness; Data; Development; Early Intervention; Equipment; Evaluation; Event; Future; General Population; Health Personnel; Home environment; Hospitalization; Hospitals; Inpatients; Intensive Care Units; Intervention; Learning; Length of Stay; Life; Lung; Mechanics; Medical Electronics; Monitor; Numbers; Nurses; Online Systems; Outpatients; Oxygen; Palliative Care; Patients; Pediatric Intensive Care Units; Phase; Physical assessment; Physicians; Population; Production; Provider; Rate; Recovery; Rehabilitation therapy; Rural; Site; Specific qualifier value; Surveys; System; Technology; Translating; Transportation; Travel; Ventilator; design; pathogen; patient home care; programs; prototype; psychologic; respiratory; social; tool

DESCRIPTION (provided by applicant): Advanced Medical Electronics Corporation (AME) proposes to develop a tool for pulmonologists and respiratory therapists specifically designed for the care of home ventilator-dependant pediatric patients. Following a critical illness, children require specialized care to facilitate recovery and rehabilitation that does not impede social and psychological development. Technology-dependent, chronically ill children represent a broad population of patients that are more frequently affected by acute, life-threatening illness than the general population. Early intervention may mitigate against the development of more severe illness that would likely require inpatient hospital care in a pediatric intensive care unit (PICU). However, intervention strategies have been confounded by the need for frequent assessment of the physical exam in a relatively immobile patient population. At present, reevaluation frequently requires admission to a PICU or at a minimum, evaluation in an outpatient setting wherein patients are exposed to a wide array of infectious pathogens. Given the special monitoring equipment and the technology required to support these children, caregivers are appropriately concerned about traveling to a clinic only to learn that no intervention is necessary. The availability of technology that enables effective, timely, and reliable information transfer between the homecare providers and the attending pulmonologists and respiratory therapists is likely to decrease the need for hospitalization and provide a dramatically increased level of comfort for care providers in the home. Technology-dependent, chronically ill children are more frequently affected by acute, life-threatening illness than the general population and will benefit from tools that minimize the likelihood of required transportation events. Early intervention may mitigate against the development of more severe illness that would likely require inpatient hospital care in a pediatric intensive care unit (PICU).

描述（由申请人提供）：高级医疗电子公司（AME）提议为肺病学家和呼吸治疗师开发一种工具，专门用于护理依赖家庭呼吸机的儿科患者。患重病后，儿童需要专门护理，以促进恢复和康复，但不妨碍社会和心理发展。依赖技术的慢性病儿童代表了一个广泛的患者群体，他们比一般人群更经常受到急性、危及生命的疾病的影响。早期干预可以减轻更严重的疾病的发展，这些疾病可能需要在儿科重症监护室（PICU）住院治疗。然而，由于需要对相对不动的患者群体进行频繁的体检评估，干预策略受到了混淆。目前，重新评估经常需要进入PICU，或者至少需要在门诊环境中进行评估，其中患者暴露于各种各样的感染性病原体。鉴于支持这些儿童所需的特殊监测设备和技术，护理人员对前往诊所却得知无需干预感到适当的担忧。家庭护理提供者与主治肺科医生和呼吸治疗师之间有效、及时和可靠的信息传输技术的可用性可能会减少住院治疗的需求，并为家庭护理提供者提供显著提高的舒适度。依赖技术的慢性病儿童比一般人群更经常受到急性、危及生命的疾病的影响，并将受益于最大限度地减少所需交通事件可能性的工具。早期干预可以减轻更严重的疾病的发展，这些疾病可能需要在儿科重症监护室（PICU）住院治疗。