Räsänen Jukka, Gavriely Noam
17Department of Anesthesiology, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL 33612 USA.
Karmel Medical, Haifa, Israel.
Pneumonia (Nathan). 2014 Dec 1;5(Suppl 1):52-58. doi: 10.15172/pneu.2014.5/515. eCollection 2014.
Childhood pneumonia continues to be the number one cause of death in children under five years of age in developing countries. In addition to mortality, pneumonia constitutes an enormous economic and social burden because late diagnosis is associated with high cost of treatment and often leads to chronic health problems. There are several bottlenecks in developing countries in the case flow of a child with lung infection: 1) recognising the symptoms as a reason to seek care, 2) getting the patient to a first-tier health facility, 3) scarcity of trained healthcare personnel who can diagnose the condition and its severity, 4) access to a second-tier facility in severe cases. These factors are commonly present in rural areas but even in more urban settings, access to a physician is often delayed. The Childhood Pneumonia Screener project aims at bridging the diagnostic gap using emerging technology. Mobile "smart" phone communication with several inexpensive dedicated sensors is proposed as a rapid data-collection and transmission unit that is connected to a central location where trained personnel assisted by sophisticated signal processing algorithms, evaluate the data and determine if the child is likely to have pneumonia and what the level and urgency of care should be.
在发展中国家,儿童肺炎仍是五岁以下儿童的首要死因。除了造成死亡,肺炎还构成了巨大的经济和社会负担,因为诊断延迟与高昂的治疗费用相关,且常常导致慢性健康问题。在发展中国家,患有肺部感染的儿童在就医流程中存在几个瓶颈:1)将症状识别为就医的理由;2)让患者前往一级医疗机构;3)缺乏能够诊断病情及其严重程度的训练有素的医护人员;4)在重症病例中难以获得二级医疗机构的救治。这些因素在农村地区普遍存在,但即使在城市地区,看医生往往也会延迟。儿童肺炎筛查项目旨在利用新兴技术弥合诊断差距。有人提议使用配备多个廉价专用传感器的移动“智能”手机作为快速数据收集和传输单元,该单元连接到一个中心地点,在那里,训练有素的人员在先进的信号处理算法的辅助下,评估数据并确定儿童是否可能患有肺炎以及应给予何种护理级别和紧急程度。