Home-based Health Management of COPD Patients

描述（由申请人提供）：明尼苏达健康解决方案公司（MHS）提议开发和部署一种基于智能手机的工具，以监测和激励慢性阻塞性肺病（COPD）患者在家完成肺康复（PR）。COPD是美国的主要死亡原因。COPD无法治愈，但COPD患者即使在非常低的水平下运动也能显着降低COPD入院和死亡的风险。PR是针对COPD患者的医学监督计划，被认为是护理的重要组成部分。然而，许多人无法在临床环境中参加PR。开发一种系统，安全地允许PR在患者家中进行适当的监测和反馈，将为COPD患者的医疗保健提供重大进展。在第一阶段，MHS将为系统的患者端设计硬件和软件组件。此外，MHS将通过在罗切斯特的马约诊所进行试点研究，确定该工具用于COPD患者的可行性。在I期研究显示可行性后，可在马约进行更大规模的II期研究。 公共卫生相关性：慢性阻塞性肺疾病（COPD）是一种进行性肺部疾病，使呼吸困难，它是美国第四大死亡原因。COPD没有治愈方法。肺康复（PR）可以提高患者的生活质量，减少住院和死亡风险。

DESCRIPTION (provided by applicant): Minnesota Health Solutions Corporation (MHS) proposes to develop and deploy a Smartphone-based tool to monitor and motivate people with chronic obstructive pulmonary disease (COPD) to complete pulmonary rehabilitation (PR) at home. COPD is a leading cause of death in the United States. There is no cure for COPD, but COPD patients who exercise even at very low levels significantly lower their risk of COPD admissions and mortality. PR is a medically supervised program for people with COPD and is considered an essential component of care. Yet many people are unable to attend PR in a clinical setting. The development of a system that safely allows PR in the patient home with proper monitoring and feedback will provide a significant advance in the health care of COPD patients. In Phase I, MHS will design the hardware and software components for the patient end of the system. Furthermore, MHS will establish the feasibility of this tool for use by COPD patients by conducting a pilot study at the Mayo Clinic, Rochester. After feasibility is shown in Phase I a much larger study can be conducted in Phase II at Mayo. PUBLIC HEALTH RELEVANCE: Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung disease that makes breathing difficult and it is the fourth leading cause of death in the United States. There is no cure for COPD. Pulmonary Rehabilitation (PR) can improve quality of life for patients as well as reducing hospital admissions and risk of death.