Home Pediatric Critical Care Intervention to Reduce Hospitalization

描述（由申请人提供）：Advanced Medical Electronics Corporation（AME）拟为肺科医生和呼吸治疗师开发一种工具，专门用于家庭呼吸机依赖型儿科患者的护理。 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。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。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，干预策略受到需要在相对不动的患者人群中通过体格检查进行频繁评估的混淆。目前，即使是评估也经常需要进入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。考虑到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进行评估表示适当的关注。家庭护理提供者与主治肺病学家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运输和住院的需求，并为家庭护理提供者和最终儿童提供显著提高的舒适度。 公共卫生相关性：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。

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).