儿童肺炎筛查:一个概念

IF 8.5 Q1 RESPIRATORY SYSTEM Pneumonia Pub Date : 2014-12-01 DOI:10.15172/pneu.2014.5/515
J. Räsänen, N. Gavriely
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引用次数: 0

摘要

儿童肺炎仍然是发展中国家五岁以下儿童死亡的头号原因。除了死亡率外,肺炎还构成巨大的经济和社会负担,因为诊断晚与治疗费用高有关,并常常导致慢性健康问题。在发展中国家,肺部感染儿童的病例流存在几个瓶颈:1)认识到症状是寻求治疗的理由;2)将患者送到一线卫生机构;3)缺乏能够诊断病情及其严重程度的训练有素的卫生保健人员;4)在严重病例中无法到二线医疗机构就诊。这些因素在农村地区普遍存在,但即使在更多的城市环境中,就诊也常常被推迟。儿童肺炎筛查项目旨在利用新兴技术弥合诊断差距。建议将带有几个廉价专用传感器的移动“智能”电话通信作为一种快速数据收集和传输单元,连接到一个中心位置,在那里训练有素的人员在复杂的信号处理算法的协助下评估数据并确定儿童是否可能患有肺炎以及护理的级别和紧迫性。
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Childhood Pneumonia Screener: a concept
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.
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来源期刊
Pneumonia
Pneumonia RESPIRATORY SYSTEM-
自引率
1.50%
发文量
7
审稿时长
11 weeks
期刊介绍:
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