A Wireless Device to Monitor and Track Fluid Consumption in At-Risk Older Adults

描述（由申请人提供）：智能日常生活活动有限责任公司（Smart ADLs）提出的项目的长期目标是开发一种设备（智能杯），通过使用智能健康技术管理营养来改善老年人的健康。营养不良（营养不足）是在整个护理连续体中发现的老年人常见的老年综合征。2010年，在3900万出院患者中，老年人占34%，其中56%在一年内再次入院。营养不良与不良的健康结果有关，增加了护理费用，包括再次住院和住院。口服液体营养补充剂（ONS）用于治疗营养不良。然而，由于难以准确确定个人消费，它们的有效性受到限制。目前测量和记录ONS摄入量的唯一方法是记录提供的液体量（单位：毫升）和治疗期结束时丢弃的液体量。当依靠自我报告时，这是非常不可靠的，如果由护士记录，则是耗时和劳动密集型的。因此，临床医生在管理脆弱个体的营养时留下了不可靠的营养摄入数据，使得干预措施的评估和对治疗计划的进一步调整变得无效和困难。目前尚不需要一种技术来不显眼地记录和监测ONS的饮食摄入量，以改善脆弱成年人的营养状况。智能adl的创始人已经制造了一个智能杯原型来满足这种需求。智能杯结合了传感器、无线数据处理和分析技术（近年来，这些技术的成本已经大大降低，以促进商业发展），可以连续、实时地监测液体摄入量。当整合到临床（机构或家庭）管理计划时，智能杯有可能通过记录规定的ONS消费来影响营养脆弱的老年人的结果，并提醒用户（患者）和/或护理人员，在必要时触发替代治疗建议。在第一阶段的STTR项目中，智能杯的稳健性和可用性将在营养风险的住院老年人和临床医生中进行可行性现场测试和验证。健康、功能和生活质量是老年人“健康人2020”的重要目标，健康营养在其中起着至关重要的作用。这个项目意义重大

DESCRIPTION (provided by applicant): The long term goal of the proposed project by Smart Activities of Daily Living, LLC (Smart ADLs) is to develop a device (the Smart Cup) that will improve the health of older adults by managing nutrition using smart health technology. Malnutrition (under nutrition) is a common geriatric syndrome found in older adults across the care continuum. Older adults accounted for 34 percent of the 39 million hospital discharges in 2010 with 56 percent readmitted within one year. Malnutrition is associated with adverse health outcomes that increase the cost of care, including hospital readmissions and institutionalization. Oral liquid nutrition supplements (ONS) are used to treat malnutrition. However, their effectiveness is limited by the difficulty in accurately determining individual consumption. The only way to currently measure and document ONS intake is to record the amount (in cc) of liquid provided, and the amount discarded at the end of a treatment period. This is highly unreliable when relying on self-report, and is time-consuming and labor-intensive if nurse-recorded. As a result, clinicians managing nutrition in vulnerable individuals are left with unreliable nutritiona intake data, making the evaluation of interventions and further adjustments to the treatment plan ineffective and difficult. There is an unmet need for a technology to unobtrusively record and monitor dietary intake of ONS to improve nutrition status in vulnerable adults. The founders of Smart ADLs have manufactured a Smart Cup prototype to meet such a need. The Smart Cup combines sensors, wireless data handling, and analysis technologies (the cost of which have decreased sufficiently in recent years to facilitate commercial development) enabling continuous, real-time monitoring of liquid intake. When integrated into a clinical (institutional o at-home) management plan, the Smart Cup has the potential to impact outcomes for nutritionally-vulnerable older adults by documenting consumption of prescribed ONS, and alerting users (patients) and/or caregivers, triggering alternative treatment recommendations if necessary. In this Phase I STTR project, the robustness and usability of the Smart Cup will be tested and validated in proof-of-feasibility field tests in nutritionally at risk hospitalized olde adults and clinicians. Health, function, and quality of life are important Healthy People 2020 goals for older adults, for which healthy nutrition plays a vital role. This project is significant because it responds to a call for healthcare reform from reactive models to preventive models made possible by integrating e-health (electronic communication and information technology) and m-health (mobile and wireless devices to improve health).