Home Pediatric Critical Care Intervention to Reduce Hospitalization

家庭儿科重症监护干预以减少住院率

基本信息

批准号：
8001005
负责人：
DANIEL S HEDIN
金额：
$ 44.72万
依托单位：
ADVANCED MEDICAL ELECTRONICS CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-28 至 2012-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8001005
关键词：
Acute Admission activity Affect Air Back Blood Caregivers Caring Child Child Support Childhood Chronic Chronic Care Chronic Disease Chronically Ill Clinic Clinical Management Code Collaborations Communication Computers Continuity of Patient Care Critical Care Critical Illness Data Development Diagnostic Disaster Planning Disease Doctor of Medicine Doctor of Philosophy Early treatment Education Electronics Emergency Situation Engineering Equipment Evaluation Event FDA approved Funding Future General Population Hand Healthcare Systems Home Care Services Home Health Care Agencies Home environment Hospitalization Hospitals Infusion procedures Inpatients Internet Intervention Lead Life Link Lung Marketing Mechanics Medical Medical Device Medical Electronics Methods Minnesota Monitor Nurses Online Systems Outpatients Oxygen Palliative Care Parents Patient Care Patients Pediatric Hospitals Pediatric Intensive Care Units Pediatrics Performance Phase Physician Executives Physicians Principal Investigator Production Provider Public Health Quality of life Recording of previous events Recovery Rehabilitation therapy Reliance Reporting Research Ethics Committees Research Personnel Respiratory System Running Rural Scientist Secure Series Services Site Specific qualifier value Surveys System Technology Testing Time Transportation Travel United States National Institutes of Health Ventilator Wireless Technology Wisconsin advanced system authority base combat cost design experience improved innovation insight instrumentation laptop medical schools novel pathogen patient home care patient population product development professor programs prototype psychologic public health relevance research and development respiratory social software development statistics success systems research tool transmission process web interface

项目摘要

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-dependent pediatric patients. 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. Following a critical illness, children require specialized care to facilitate recovery and rehabilitation that does not impede social and psychological development. 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 via physical exam in a relatively immobile patient population. At present, even evaluation 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 for an assessment. 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 transport and hospitalization, and provide a dramatically increased level of comfort for care providers in the home and ultimately the children. PUBLIC HEALTH RELEVANCE: 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）：高级医学电子公司（AME）建议为肺科医生和呼吸治疗师开发一种工具，专门为护理家庭呼吸剂依赖的儿科患者而设计。与一般人群相比，依赖技术依赖性的，长期患病的儿童代表着广泛的患者，这些患者频繁受到急性，威胁生命的疾病的影响。在重症疾病之后，儿童需要专门的护理来促进不影响社会和心理发展的康复和康复。早期干预可能会减轻更严重的疾病的发展，这可能需要在小儿重症监护病房（PICU）中需要住院的医院护理。但是，在相对固定的患者人群中，需要通过体格检查进行频繁评估的需要，这使干预策略变得困惑。目前，即使是评估通常都需要在门诊环境中接受PICU或至少接受评估，其中患者暴露于各种传染病。鉴于特殊的监测设备和支持这些孩子所需的技术，护理人员适当关注前往诊所进行评估的问题。可以在家庭护理提供者与参加肺科医生和呼吸治疗师之间有效，及时且可靠的信息转移的技术的可用性可能会减少运输和住院的需求，并为家庭及其最终孩子的护理提供者的舒适度急剧提高。公共卫生相关性：与一般人群相比，依赖技术的，长期患病的孩子更频繁地受到急性，威胁生命的疾病的影响，并将受益于最小化所需运输事件的可能性的工具。早期干预可能会减轻更严重的疾病的发展，这可能需要在小儿重症监护病房（PICU）中需要住院的医院护理。