Automated collection and analysis patient care system and method for diagnosing and monitoring respiratory insufficiency and outcomes thereof
First Claim
1. An automated system for diagnosing and monitoring respiratory insufficiency and outcomes thereof, comprising:
- a database storing a plurality of monitoring sets which each comprise recorded measures relating to patient information recorded on a substantially continuous basis;
a comparison module determining a patient status change by comparing at least one recorded measure from each of the monitoring sets to at least one other recorded measure with both recorded measures relating to a same type of patient information; and
an analysis module testing each patient status change against an indicator threshold corresponding to the same type of patient information as the recorded measures which were compared, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of respiratory insufficiency.
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Accused Products
Abstract
An automated system and method for diagnosing and monitoring respiratory insufficiency and outcomes thereof is described. A plurality of monitoring sets is retrieved from a database. Each of the monitoring sets include recorded measures relating to patient information recorded on a substantially continuous basis. A patient status change is determined by comparing at least one recorded measure from each of the monitoring sets to at least one other recorded measure. Both recorded measures relate to the same type of patient information. Each patient status change is tested against an indicator threshold corresponding to the same type of patient information as the recorded measures which were compared. The indicator threshold corresponds to a quantifiable physiological measure of a pathophysiology indicative of respiratory insufficiency.
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Citations
81 Claims
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1. An automated system for diagnosing and monitoring respiratory insufficiency and outcomes thereof, comprising:
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a database storing a plurality of monitoring sets which each comprise recorded measures relating to patient information recorded on a substantially continuous basis;
a comparison module determining a patient status change by comparing at least one recorded measure from each of the monitoring sets to at least one other recorded measure with both recorded measures relating to a same type of patient information; and
an analysis module testing each patient status change against an indicator threshold corresponding to the same type of patient information as the recorded measures which were compared, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of respiratory insufficiency. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
the analysis module managing the respiratory insufficiency and outcomes thereof through administration of at least one of antibiotic and antiviral therapies, bronchodilator therapies, oxygen therapies, antiinflammation therapies, electrical therapies, and mechanical therapies.
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3. An automated system according to claim 1, further comprising:
a database module periodically receiving a monitoring set for an individual patient, each recorded measure in the monitoring set having been recorded by at least one of a medical device adapted to be implanted in an individual patient and an external medical device proximal to the individual patient when the device measures are recorded and storing the received monitoring set in the database as part of a patient care record for the individual patient.
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4. An automated system according to claim 3, further comprising:
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a set of further indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure used to detect a pathophysiology indicative of diseases other than respiratory insufficiency;
the comparison module comparing each patient status change to each such further indicator threshold corresponding to the same type of patient information as the at least one recorded measure and the at least one other recorded measure; and
the analysis module testing each patient status change against each such further indicator threshold corresponding to the same type of patient information as the recorded measures which were compared.
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5. An automated system according to claim 1, further comprising:
the comparison determining a change in patient status by comparing at least one recorded quality of life measure to at least one other corresponding recorded quality of life measure.
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6. An automated system according to claim 1, further comprising:
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a set of stickiness indicators for each type of patient information, each stickiness indicator corresponding to a temporal limit related to a program of patient diagnosis or treatment;
the comparison module comparing a time span occurring between each patient status change for each recorded measure to the stickiness indicator relating to the same type of patient information as the recorded measure being compared; and
the analysis module determining a revised program of patient diagnosis or treatment responsive to each patient status change occurring subsequent to a time span exceeding the stickiness indicator.
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7. An automated system according to claim 1, further comprising:
a database module retrieving the plurality of monitoring sets from one of a patient care record for an individual patient, a peer group, and a overall patient population.
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8. An automated system according to claim 1, further comprising:
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the database further storing a reference baseline comprising recorded measures which each relate to patient information recorded during an initial time period and comprise either medical device measures or derived measures calculable therefrom; and
a database module obtaining at least one of the at least one recorded measure and the at least one other recorded measure from the retrieved reference baseline.
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9. An automated system according to claim 1, wherein the indicator thresholds relate to at least one of a finding of reduced exercise capacity and respiratory distress.
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10. An automated system according to claim 9, wherein the indicator thresholds relating to the finding of reduced exercise capacity are selected from the group comprising decreased cardiac output, decreased mixed venous oxygen score, decreased patient activity score and decreased exercise tolerance.
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11. An automated system according to claim 9, wherein the indicator thresholds relating to the finding of respiratory distress are selected from the group comprising a spike in patient activity score, a spike in pulmonary artery pressure, a spike in right ventricular pressure, a spike in transthoracic impedance, increased respiratory rate, increased minute ventilation, increased temperature, decreased QT interval, decreased arterial oxygen and decreased arterial carbon dioxide.
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12. An automated method for diagnosing and monitoring respiratory insufficiency and outcomes thereof, comprising:
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retrieving a plurality of monitoring sets from a database which each comprise recorded measures relating to patient information recorded on a substantially continuous basis;
determining a patient status change by comparing at least one recorded measure from each of the monitoring sets to at least one other recorded measure with both recorded measures relating to a same type of patient information; and
testing each patient status change against an indicator threshold corresponding to the same type of patient information as the recorded measures which were compared, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of respiratory insufficiency. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20, 21, 22)
managing the respiratory insufficiency and outcomes thereof through administration of at least one of antibiotic and antiviral therapies, bronchodilator therapies, oxygen therapies, antiinflammation therapies, electrical therapies, and mechanical therapies.
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14. An automated method according to claim 12, further comprising:
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periodically receiving a monitoring set for an individual patient, each recorded measure in the monitoring set having been recorded by at least one of a medical device adapted to be implanted in an individual patient and an external medical device proximal to the individual patient when the device measures are recorded; and
storing the received monitoring set in the database as part of a patient care record for the individual patient.
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15. An automated method according to claim 14, further comprising:
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defining a set of further indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure used to detect a pathophysiology indicative of diseases other than respiratory insufficiency;
comparing each patient status change to each such further indicator threshold corresponding to the same type of patient information as the at least one recorded measure and the at least one other recorded measure; and
testing each patient status change against each such further indicator threshold corresponding to the same type of patient information as the recorded measures which were compared.
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16. An automated method according to claim 12, further comprising:
determining a change in patient status by comparing at least one recorded quality of life measure to at least one other corresponding recorded quality of life measure.
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17. An automated method according to claim 12, further comprising:
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defining a set of stickiness indicators for each type of patient information, each stickiness indicator corresponding to a temporal limit related to a program of patient diagnosis or treatment;
comparing a time span occurring between each patient status change for each recorded measure to the stickiness indicator relating to the same type of patient information as the recorded measure being compared; and
determining a revised program of patient diagnosis or treatment responsive to each patient status change occurring subsequent to a time span exceeding the stickiness indicator.
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18. An automated method according to claim 12, further comprising:
retrieving the plurality of monitoring sets from one of a patient care record for an individual patient, a peer group, and a overall patient population.
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19. An automated method according to claim 12, further comprising:
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retrieving a reference baseline comprising recorded measures which each relate to patient information recorded during an initial time period and comprise either medical device measures or derived measures calculable therefrom; and
obtaining at least one of the at least one recorded measure and the at least one other recorded measure from the retrieved reference baseline.
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20. An automated method according to claim 12, wherein the indicator thresholds relate to at least one of a finding of reduced exercise capacity and respiratory distress.
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21. An automated method according to claim 20, wherein the indicator thresholds relating to the finding of reduced exercise capacity are selected from the group comprising decreased cardiac output, decreased mixed venous oxygen score, decreased patient activity score and decreased exercise tolerance.
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22. An automated method according to claim 20, wherein the indicator thresholds relating to the finding of respiratory distress are selected from the group comprising a spike in patient activity score, a spike in pulmonary artery pressure, a spike in right ventricular pressure, a spike in transthoracic impedance, increased respiratory rate, increased minute ventilation, increased temperature, decreased QT interval, decreased arterial oxygen and decreased arterial carbon dioxide.
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23. A computer-readable storage medium containing code for an automated method for diagnosing and monitoring respiratory insufficiency and outcomes thereof, comprising:
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code for retrieving a plurality of monitoring sets from a database which each comprise recorded measures relating to patient information recorded on a substantially continuous basis;
code for determining a patient status change by comparing at least one recorded measure from each of the monitoring sets to at least one other recorded measure with both recorded measures relating to a same type of patient information; and
code for testing each patient status change against an indicator threshold corresponding to the same type of patient information as the recorded measures which were compared, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of respiratory insufficiency. - View Dependent Claims (24, 25, 26, 27, 28, 29, 30)
managing the respiratory insufficiency and outcomes thereof through administration of at least one of antibiotic and antiviral therapies, bronchodilator therapies, oxygen therapies, antiinflammation therapies, electrical therapies, and mechanical therapies.
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25. A storage medium according to claim 23, further comprising:
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periodically receiving a monitoring set for an individual patient, each recorded measure in the monitoring set having been recorded by at least one of a medical device adapted to be implanted in an individual patient and an external medical device proximal to the individual patient when the device measures are recorded; and
storing the received monitoring set in the database as part of a patient care record for the individual patient.
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26. A storage medium according to claim 25, further comprising:
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defining a set of further indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure used to detect a pathophysiology indicative of diseases other than respiratory insufficiency;
comparing each patient status change to each such further indicator threshold corresponding to the same type of patient information as the at least one recorded measure and the at least one other recorded measure; and
testing each patient status change against each such further indicator threshold corresponding to the same type of patient information as the recorded measures which were compared.
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27. A storage medium according to claim 23, further comprising:
determining a change in patient status by comparing at least one recorded quality of life measure to at least one other corresponding recorded quality of life measure.
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28. A storage medium according to claim 23, further comprising:
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defining a set of stickiness indicators for each type of patient information, each stickiness indicator corresponding to a temporal limit related to a program of patient diagnosis or treatment;
comparing a time span occurring between each patient status change for each recorded measure to the stickiness indicator relating to the same type of patient information as the recorded measure being compared; and
determining a revised program of patient diagnosis or treatment responsive to each patient status change occurring subsequent to a time span exceeding the stickiness indicator.
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29. A storage medium according to claim 23, further comprising:
retrieving the plurality of monitoring sets from one of a patient care record for an individual patient, a peer group, and a overall patient population.
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30. A storage medium according to claim 23, further comprising:
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retrieving a reference baseline comprising recorded measures which each relate to patient information recorded during an initial time period and comprise either medical device measures or derived measures calculable therefrom; and
obtaining at least one of the at least one recorded measure and the at least one other recorded measure from the retrieved reference baseline.
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31. An automated collection and analysis patient care system for diagnosing and monitoring respiratory insufficiency and outcomes thereof, comprising:
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a database storing a plurality of monitoring sets, each monitoring set comprising recorded measures which each relate to patient information and comprise either medical device measures or derived measures calculable therefrom, the medical device measures having been recorded on a substantially continuous basis;
a set of stored indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of respiratory insufficiency and relating to a same type of patient information as at least one of the recorded measures; and
a diagnostic module diagnosing a respiratory insufficiency finding, comprising;
an analysis module determining a change in patient status by comparing at least one recorded measure to at least one other recorded measure with both recorded measures relating to the same type of patient information; and
a comparison module comparing each patient status change to the indicator threshold corresponding to the same type of patient information as the recorded measures which were compared. - View Dependent Claims (32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46)
a database module retrieving each monitoring set from a patient care record for the individual patient and obtaining the at least one recorded measure and the at least one other recorded measure from the retrieved monitoring sets.
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34. A system according to claim 31, wherein each of the monitoring sets comprises recorded measures relating to patient information for a peer group of patients to which the individual patient belongs, further comprising:
a database module retrieving at least one monitoring set from a patient care record for the individual patient, retrieving at least one other monitoring set from a patient care record in the same patient peer group, and obtaining the at least one recorded measure from the at least one monitoring set and the at least one other recorded measure from the at least one other monitoring set.
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35. A system according to claim 31, wherein each of the monitoring sets comprises recorded measures relating to patient information for the general population of patients, further comprising:
a database module retrieving at least one monitoring set from a patient care record for the individual patient, retrieving at least one other monitoring set from a patient care record in the overall patient population, and obtaining the at least one recorded measure from the at least one monitoring set and the at least one other recorded measure from the at least one other monitoring set.
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36. A system according to claim 31, further comprising:
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the database further storing a reference baseline comprising recorded measures which each relate to patient information recorded by the medical device adapted to be implanted during an initial time period and comprise either device measures recorded by the medical device adapted to be implanted or derived measures calculable therefrom; and
a database module obtaining at least one of the at least one recorded measure and the at least one other recorded measure from the retrieved reference baseline.
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37. A system according to claim 36, wherein the reference baseline comprises recorded measures relating to patient information for one of the individual patients solely, a peer group of patients to which the individual patient belongs, and a general population of patients.
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38. A system according to claim 31, wherein the indicator thresholds relate to reduced exercise capacity selected from the group comprising decreased cardiac output, decreased mixed venous oxygen score, decreased patient activity score and decreased exercise tolerance.
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39. A system according to claim 31, wherein the indicator thresholds relate to respiratory distress selected from the group comprising a spike in patient activity score, a spike in pulmonary artery pressure, a spike in right ventricular pressure, a spike in transthoracic impedance, increased respiratory rate, increased minute ventilation, increased temperature, decreased QT interval, decreased arterial oxygen and decreased arterial carbon dioxide.
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40. A system according to claim 31, the comparison module further comprising:
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a module grading the comparisons between each patient status change and corresponding indicator threshold on a fixed scale based on a degree of deviation from the indicator threshold; and
the comparison module determining an overall patient status change by performing a summation over the individual graded comparisons.
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41. A system according to claim 31, the comparison module further comprising:
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a module determining probabilistic weightings of the comparisons between each patient status change and corresponding indicator threshold based on a statistical deviation and trends via linear fits from the indicator threshold; and
the comparison module determining an overall patient status change by performing a summation over the individual graded comparisons.
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42. A system according to claim 31, wherein each monitoring set further comprises quality of life and symptom measures recorded by the individual patient, the diagnostic module further comprising:
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a quality of life module determining a change in patient status by comparing at least one recorded quality of life measure to at least one other corresponding recorded quality of life measure; and
the diagnostic module incorporating each patient status change in quality of life into the respiratory insufficiency finding to either refute or support the diagnosis.
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43. A system according to claim 31, further comprising:
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a set of stored further indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure used to detect a pathophysiology indicative of diseases other than respiratory insufficiency of disease; and
the diagnostic module diagnosing a finding of a disease other than respiratory insufficiency, the comparison module further comprising comparing each patient status change to each such further indicator threshold corresponding to the same type of patient information as the at least one recorded measure and the at least one other recorded measure.
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44. A system according to claim 31, further comprising:
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a set of stickiness indicators, each indicator threshold corresponding to a temporal limit related to a course of patient care; and
a feedback module comparing a time span between each patient status change for each recorded measure to the stickiness indicator corresponding to the same type of patient information as the recorded measure being compared.
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45. A system according to claim 31, further comprising:
a feedback module providing automated feedback to the individual patient when a respiratory insufficiency finding is indicated.
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46. A system according to claim 45, further comprising:
the feedback module performing an interactive dialogue between the individual patient and the patient care system regarding a medical condition of the individual patient.
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47. A method for diagnosing and monitoring respiratory insufficiency and outcomes thereof using an automated collection and analysis patient care system, comprising:
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retrieving a plurality of monitoring sets from a database, each monitoring set comprising recorded measures which each relate to patient information and comprise either medical device measures or derived measures calculable therefrom, the medical device measures having been recorded on a substantially continuous basis;
defining a set of indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of respiratory insufficiency and relating to a same type of patient information as at least one of the recorded measures; and
diagnosing a respiratory insufficiency finding, comprising;
determining a chance in patient status by comparing at least one recorded measure to at least one other recorded measure with both recorded measures relating to the same type of patient information; and
comparing each patient status change to the indicator threshold corresponding to the same type of patient information as the recorded measures which were compared. - View Dependent Claims (48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62)
retrieving each monitoring set from a patient care record for the individual patient; and
obtaining the at least one recorded measure and the at least one other recorded measure from the retrieved monitoring sets.
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50. A method according to claim 47, wherein each of the monitoring sets comprises recorded measures relating to patient information for a peer group of patients to which the individual patient belongs, further comprising:
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retrieving at least one monitoring set from a patient care record for the individual patient;
retrieving at least one other monitoring set from a patient care record in the same patient peer group; and
obtaining the at least one recorded measure from the at least one monitoring set and the at least one other recorded measure from the at least one other monitoring set.
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51. A method according to claim 47, wherein each of the monitoring sets comprises recorded measures relating to patient information for the general population of patients, further comprising:
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retrieving at least one monitoring set from a patient care record for the individual patient;
retrieving at least one other monitoring set from a patient care record in the overall patient population; and
obtaining the at least one recorded measure from the at least one monitoring set and the at least one other recorded measure from the at least one other monitoring set.
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52. A method according to claim 47, further comprising:
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retrieving a reference baseline comprising recorded measures which each relate to patient information recorded by the medical device adapted to be implanted during an initial time period and comprise either device measures recorded by the medical device adapted to be implanted or derived measures calculable therefrom; and
obtaining at least one of the at least one recorded measure and the at least one other recorded measure from the retrieved reference baseline.
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53. A method according to claim 52, wherein the reference baseline comprises recorded measures relating to patient information for one of the individual patients solely, a peer group of patients to which the individual patient belongs, and a general population of patients.
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54. A method according to claim 47, wherein the indicator thresholds relate to reduced exercise capacity selected from the group comprising decreased cardiac output, decreased mixed venous oxygen score, decreased patient activity score and decreased exercise tolerance.
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55. A method according to claim 47, wherein the indicator thresholds relate to respiratory distress selected from the group comprising a spike in patient activity score, a spike in pulmonary artery pressure, a spike in right ventricular pressure, a spike in transthoracic impedance, increased respiratory rate, increased minute ventilation, increased temperature, decreased QT interval, decreased arterial oxygen and decreased arterial carbon dioxide.
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56. A method according to claim 47, the operation of comparing each patient status change further comprising:
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grading the comparisons between each patient status change and corresponding indicator threshold on a fixed scale based on a degree of deviation from the indicator threshold; and
determining an overall patient status change by performing a summation over the individual graded comparisons.
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57. A method according to claim 47, the operation of comparing each patient status change further comprising:
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determining probabilistic weightings of the comparisons between each patient status change and corresponding indicator threshold based on a statistical deviation and trends via linear fits from the indicator threshold; and
determining an overall patient status change by performing a summation over the individual graded comparisons.
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58. A method according to claim 47, wherein each monitoring set further comprises quality of life and symptom measures recorded by the individual patient, the operation of diagnosing a respiratory insufficiency finding further comprising:
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determining a change in patient status by comparing at least one recorded quality of life measure to at least one other corresponding recorded quality of life measure; and
incorporating each patient status change in quality of life into the respiratory insufficiency finding to either refute or support the diagnosis.
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59. A method according to claim 47, further comprising:
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defining a set of further indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure used to detect a pathophysiology indicative of diseases other than respiratory insufficiency; and
diagnosing a finding of the disease other than respiratory insufficiency, comprising comparing each patient status change to each such further indicator threshold corresponding to the same type of patient information as the at least one recorded measure and the at least one other recorded measure.
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60. A method according to claim 47, further comprising:
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defining a set of stickiness indicators, each indicator threshold corresponding to a temporal limit related to a course of patient care; and
comparing a time span between each patient status change for each recorded measure to the stickiness indicator corresponding to the same type of patient information as the recorded measure being compared.
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61. A method according to claim 47, further comprising:
providing automated feedback to the individual patient when a respiratory insufficiency finding is indicated.
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62. A method according to claim 61, further comprising:
performing an interactive dialogue between the individual patient and the patient care system regarding a medical condition of the individual patient.
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63. A computer-readable storage medium holding code for diagnosing and monitoring respiratory insufficiency using an automated collection and analysis patient care system, comprising:
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code for retrieving a plurality of monitoring sets from a database, each monitoring set comprising recorded measures which each relate to patient information and comprise either medical device measures or derived measures calculable therefrom, the medical device measures having been recorded on a substantially continuous basis;
code for defining a set of indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of respiratory insufficiency and relating to a same type of patient information as at least one of the recorded measures; and
code for diagnosing a respiratory insufficiency finding, comprising;
code for determining a change in patient status by comparing at least one recorded measure to at least one other recorded measure with both recorded measures relating to the same type of patient information; and
code for comparing each patient status change to the indicator threshold corresponding to the same type of patient information as the recorded measures which were compared. - View Dependent Claims (64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74)
retrieving each monitoring set from a patient care record for the individual patient; and
obtaining the at least one recorded measure and the at least one other recorded measure from the retrieved monitoring sets.
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65. A storage medium according to claim 63, wherein each of the monitoring sets comprises recorded measures relating to patient information for a peer group of patients to which the individual patient belongs, further comprising:
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retrieving at least one monitoring set from a patient care record for the individual patient;
retrieving at least one other monitoring set from a patient care record in the same patient peer group; and
obtaining the at least one recorded measure from the at least one monitoring set and the at least one other recorded measure from the at least one other monitoring set.
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66. A storage medium according to claim 63, wherein each of the monitoring sets comprises recorded measures relating to patient information for the general population of patients, further comprising:
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retrieving at least one monitoring set from a patient care record for the individual patient;
retrieving at least one other monitoring set from a patient care record in the overall patient population; and
obtaining the at least one recorded measure from the at least one monitoring set and the at least one other recorded measure from the at least one other monitoring set.
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67. A storage medium according to claim 63, further comprising:
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retrieving a reference baseline comprising recorded measures which each relate to patient information recorded by the medical device adapted to be implanted during an initial time period and comprise either device measures recorded by the medical device adapted to be implanted or derived measures calculable therefrom; and
obtaining at least one of the at least one recorded measure and the at least one other recorded measure from the retrieved reference baseline.
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68. A storage medium according to claim 63, the operation of comparing each patient status change further comprising:
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grading the comparisons between each patient status change and corresponding indicator threshold on a fixed scale based on a degree of deviation from the indicator threshold; and
determining an overall patient status change by performing a summation over the individual graded comparisons.
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69. A storage medium according to claim 63, the operation of comparing each patient status change further comprising:
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determining probabilistic weightings of the comparisons between each patient status change and corresponding indicator threshold based on a statistical deviation and trends via linear fits from the indicator threshold; and
determining an overall patient status change by performing a summation over the individual graded comparisons.
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70. A storage medium according to claim 63, wherein each monitoring set further comprises quality of life and symptom measures recorded by the individual patient, the operation of diagnosing a respiratory insufficiency finding further comprising:
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determining a change in patient status by comparing at least one recorded quality of life measure to at least one other corresponding recorded quality of life measure; and
incorporating each patient status change in quality of life into the respiratory insufficiency finding to either refute or support the diagnosis.
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71. A storage medium according to claim 63, further comprising:
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defining a set of further indicator thresholds, each indicator threshold corresponding to a quantifiable physiological measure used to detect a pathophysiology indicative of diseases other than respiratory insufficiency; and
diagnosing a finding of the disease other than respiratory insufficiency, comprising comparing each patient status change to each such further indicator threshold corresponding to the same type of patient information as the at least one recorded measure and the at least one other recorded measure.
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72. A storage medium according to claim 63, further comprising:
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defining a set of stickiness indicators, each indicator threshold corresponding to a temporal limit related to a course of patient care; and
comparing a time span between each patient status change for each recorded measure to the stickiness indicator corresponding to the same type of patient information as the recorded measure being compared.
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73. A storage medium according to claim 63, further comprising:
providing automated feedback to the individual patient when a respiratory insufficiency finding is indicated.
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74. A storage medium according to claim 73, further comprising:
performing an interactive dialogue between the individual patient and the patient care system regarding a medical condition of the individual patient.
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75. An automated patient care system for diagnosing and monitoring respiratory insufficiency and outcomes thereof, comprising:
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a database storing recorded measures organized into a monitoring set for an individual patient with each recorded measure having been recorded on a substantially continuous basis and relating to at least one of monitoring reduced exercise capacity and respiratory distress;
a database module periodically retrieving a plurality of the monitoring sets from the database; and
a diagnostic module evaluating at least one of respiratory insufficiency onset, progression, regression, and status quo, comprising;
a comparison module determining a patient status change by comparing at least one recorded measure from each of the monitoring sets to at least one other recorded measure with both recorded measures relating to a same type of patient information; and
an analysis module testing each patient status change against an indicator threshold corresponding to the same type of patient information as the recorded measures which were compared, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of reduced exercise capacity and respiratory distress. - View Dependent Claims (76, 77)
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78. A method for diagnosing and monitoring respiratory insufficiency and outcomes thereof in an automated patient care system, comprising:
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storing recorded measures organized into a monitoring set for an individual patient into a database with each recorded measure having been recorded on a substantially continuous basis and relating to at least one of monitoring reduced exercise capacity and respiratory distress;
periodically retrieving a plurality of the monitoring sets from the database;
evaluating at least one of respiratory insufficiency onset, progression, regression, and status quo, comprising;
determining a patient status change by comparing at least one recorded measure from each of the monitoring sets to at least one other recorded measure with both recorded measures relating to a same type of patient information; and
testing each patient status change against an indicator threshold corresponding to the same type of patient information as the recorded measures which were compared, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of reduced exercise capacity and respiratory distress. - View Dependent Claims (79, 80)
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81. A computer-readable storage medium holding code for diagnosing and monitoring respiratory insufficiency in an automated patient care system, comprising:
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code for storing recorded measures organized into a monitoring set for an individual patient into a database with each recorded measure having been recorded on a substantially continuous basis and relating to at least one of monitoring reduced exercise capacity and respiratory distress;
code for periodically retrieving a plurality of the monitoring sets from the database;
code for evaluating at least one of respiratory insufficiency onset, progression, regression, and status quo, comprising;
code for determining a patient status change by comparing at least one recorded measure from each of the monitoring sets to at least one other recorded measure with both recorded measures relating to a same type of patient information; and
code for testing each patient status change against an indicator threshold corresponding to the same type of patient information as the recorded measures which were compared, the indicator threshold corresponding to a quantifiable physiological measure of a pathophysiology indicative of reduced exercise capacity and respiratory distress.
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Specification