AUTOMATED SYSTEM FOR TELEPHONE HOME MANAGEMENT OF ASTHMA

哮喘电话家庭管理自动化系统

• 批准号: 2421250
• 负责人: Anthony Michael Albisser
• 金额: $ 10万
• 依托单位: BETTER CONTROL MEDICAL COMPUTERS (BCMC)
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-09-30 至 1998-03-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2421250
• 关键词: artificial intelligence; asthma; biomedical automation; clinical research; computer assisted patient care; computer program /software; computer system design /evaluation; home health care; human subject; patient care management; self care; telecommunications

Asthma is a highly prevalent disease with a significant morbidity leading to emergency room visits, hospitalizations and absenteeism from work and school. Two major factors contributing to asthma morbidity (and mortality) are failure to detect asthma decompensation and use of inappropriate treatment strategies. Asthma severity can be assessed by clinical symptoms and peak flow measurements. There are internationally accepted guidelines for asthma management. However, rapid translation of asthma symptoms into a change in therapy is frequently impeded by the patient's inability to understand self management, reluctance to contact the health care provider, or delays in feedback from the provider to the patient. The objective of this proposal is to develop a prototype Automated System for Telephonic Home Management of Asthma (ASTHMA) in analogy to an existing and successful on-line management system for diabetes. Specifically, we will transform the algorithms for asthma management into a format suitable for computer implementation, develop a computer platform for the testing of these algorithms, and conduct off-line clinical tests to establish the technical merit and feasibility of a prototype system. This will be accomplished in 200-250 ambulatory children and adults with asthma who are served in three clinics at the University of Miami School of Medicine. A comparison between the "mock recommendations" of the prototype system with the physicians' actual interventions will test the feasibility of the computerized system. The goals of the ASTHMA system described in this proposal are to save time (efficiency), decrease morbidity (efficacy), and increase patient and health care provider satisfaction (attractiveness). PROPOSED COMMERCIAL APPLICATION: Computer-assisted home management of asthma offers a significant commercial opportunity as systems for this purpose will potentially be needed in all major asthma care centers.

哮喘是一种高度流行的疾病，发病率极高。 急诊室就诊、住院和旷工以及 学校。导致哮喘发病率(和死亡率)的两个主要因素 未能发现哮喘失代偿和使用不当 治疗策略。哮喘的严重程度可以通过临床症状来评估。 和峰值流量测量。有国际公认的指导方针 用于哮喘治疗。然而，哮喘症状的快速转化为 治疗方法的改变常常会因为患者没有能力 懂自我管理，不愿联系医护人员 提供者，或延迟提供者对患者的反馈。这个 本方案的目标是开发一个原型自动化系统，用于 哮喘(哮喘)的电话家庭管理类似于现有的 和成功的糖尿病在线管理系统。 具体地说，我们将把哮喘管理的算法转化为 一种适合计算机实现的格式，开发一个计算机平台 用于测试这些算法，并进行离线临床测试 建立原型系统的技术优势和可行性。 这将在200-250名流动儿童和成人中实现 在迈阿密大学学校的三个诊所接受治疗的哮喘患者 医学部。两国政府的“模拟建议”比较 带有医生实际干预的原型系统将测试 计算机化系统的可行性。哮喘系统的目标 这项建议中所描述的是节省时间(效率)，减少 发病率(有效性)，并增加患者和医疗保健提供者 满意度(吸引力)。 建议的商业应用： 哮喘的计算机辅助家庭管理提供了重要的 作为这一目的的系统，商业机会可能是 所有主要的哮喘护理中心都需要。