SYSTEMS AND METHODS FOR OPTIMIZING MEDICAL CARE THROUGH DATA MONITORING AND FEEDBACK TREATMENT
Systems, methods, and computer-readable media for providing a decision support solution to medical professionals to optimize medical care through data monitoring and feedback treatment are provided herein. In another embodiment, a computer-implemented method for modeling patient outcomes resulting from treatment in a specific medical area includes receiving patient-specific data associated with a patient, determining a plurality of possible patient states under which the patient can be categorized, a current patient state under which the patient can be categorized and determining probabilities of the patient transitioning from any of the possible patient states to every other possible patient state.
1 . A system for event-driven patient monitoring and treatment of a patient comprising:
a computer processor;
a memory coupled to the processor, the memory having computer-executable instructions stored thereon, which when executed by the processor, cause the processor to:
receive patient-specific data associated with the patient, the patient-specific data comprising at least data from a blood oximeter coupled with the patient;
determine a plurality of physiological variables based on the received patient-specific data, the plurality of physiological variables including at least oxygen saturation;
define a state space partitioned into a plurality of possible clinical patient states defined by a plurality of boundaries, the plurality of possible patient states comprising:
(i) inadequate DO 2 along with normal Q p /Q s ;
(ii) adequate DO 2 along with high Q p /Q s ; and
(iii) inadequate DO 2 along with high Q p /Q s ;
determine from the patient-specific data, a current clinical patient state of the patient within the state space, the current clinical patient state being one of:
(a) inadequate DO 2 along with normal Q p /Q s ;
(b) adequate DO 2 along with high Q p /Q s ; and
(c) inadequate DO 2 along with high Q p /Q s ; and
send a signal to a treatment device coupled to the patient so that the signal causes the treatment device to administer a treatment to the patient, the treatment known to address the current clinical patient state.
2 . The system of claim 1 :
wherein a boundary between adequate DO 2 and inadequate DO 2 is 25 ml O 2 /min/kg, and a boundary between normal Q p /Q s and high Q p /Q is a ratio of 1.5,
such that the patient state of adequate DO 2 along with high Q p /Q s is defined by DO 2 greater than 25 ml O 2 /min/kg along with Q p /Q s greater than a ratio of 1.5, and
such that the patient state of inadequate DO 2 along with high Q p /Q s is defined by DO 2 less than 25 ml O 2 /min/kg along with Q p /Q s greater than a ratio of 1.5, and such that
the patient state of inadequate DO 2 along with normal Q p /Q s is defined by DO 2 less than 25 ml O 2 /min/kg along with Q p /Q s less than a ratio of 1.5.
3 . The system of claim 1 , wherein
(x) the treatment for inadequate DO 2 along with normal Q p /Q s , and the treatment for inadequate DO 2 along with high Q p /Q s , is administration of chronotropic medication; and
(y) the treatment for adequate DO 2 along with high Q p /Q s is administration of vasodilation medication.
4 . A method for event driven patient monitoring and treatment of a patient comprising:
receiving, at a computer, patient-specific data associated with the patient, the patient-specific data comprising at least data from a blood oximeter coupled with the patient;
determining, by the computer, a plurality of physiological variables based on the received patient-specific data;
defining, by the computer, a state space partitioned into the plurality of possible clinical patient states defined by a plurality of boundaries, including a boundary between adequate DO 2 and inadequate DO 2 , and a boundary between normal Q p /Q s and high Q p /Q, the plurality of possible patient states comprising:
(i) inadequate DO 2 along with normal Q p /Q s ;
(ii) adequate DO 2 along with high Q p /Q s ; and
(iii) inadequate DO 2 along with high Q p /Q s ;
determining, by the computer, from the physiological variables, a current clinical patient state within the state space, the current clinical patient state being one of:
(a) inadequate DO 2 along with normal Q p /Q s ;
(b) adequate DO 2 along with high Q p /Q s ; and
(c) inadequate DO 2 along with high Q p /Q s ; and
sending a signal from the computer to a treatment device coupled to the patient so that the signal causes the treatment device to administer a treatment to the patient, the treatment known to address the current clinical patient state.
5 . The method of claim 4 :
wherein a boundary between adequate DO 2 and inadequate DO 2 is 25 ml O 2 /min/kg, and a boundary between normal Q p /Q s and high Q p /Q is a ratio of 1.5,
such that the patient state of adequate DO 2 along with high Q p /Q s is defined by DO 2 greater than 25 ml O 2 /min/kg along with Q p /Q s greater than a ratio of 1.5, and
such that the patient state of inadequate DO 2 along with high Q p /Q s is defined by DO 2 less than 25 ml O 2 /min/kg along with Q p /Q s greater than a ratio of 1.5, and such that
the patient state of inadequate DO 2 along with normal Q p /Q s is defined by DO 2 less than 25 ml O 2 /min/kg along with Q p /Q s less than a ratio of 1.5.
6 . The method of claim 4 , wherein
(x) the treatment for inadequate DO 2 along with normal Q p /Q s , and the treatment for inadequate DO 2 along with high Q p /Q s , is administration of chronotropic medication; and
(y) the treatment for adequate DO 2 along with high Q p /Q s is administration of vasodilation medication.
7 . A non-transitory computer-readable medium having computer-executable instructions stored thereon, the instructions executable by a computer, the instructions comprising:
instructions to cause the computer to receive patient-specific data associated with the patient, the patient-specific data comprising at least data from one of a plurality of sensors coupled with the patient, the plurality of sensors including at least a blood oximeter;
instructions to cause the computer to determine a plurality of physiological variables based on the received patient-specific data, the plurality of physiological variables including at least oxygen saturation;
instructions to cause the computer to define a state space partitioned into a plurality of possible clinical patient states defined by a plurality of boundaries, the plurality of possible patient states comprising:
(i) inadequate DO 2 along with normal Q p /Q s ;
(ii) adequate DO 2 along with high Q p /Q s ; and
(iii) inadequate DO 2 along with high Q p /Q s ;
instructions to cause the computer to determine from the physiological variables, a current clinical patient state of the patient within the state space, the current clinical patient state being one of:
(a) inadequate DO 2 along with normal Q p /Q s ;
(b) adequate DO 2 along with high Q p /Q s ; and
(c) inadequate DO 2 along with high Q p /Q s ; and
instructions to cause the computer to control a treatment device by sending a signal to the treatment device coupled to the patient so that the signal causes the treatment device to administer a treatment to the patient, the treatment known to address the current clinical patient state.
8 . The non-transitory computer-readable medium of claim 7 :
wherein a boundary between adequate DO 2 and inadequate DO 2 is 25 ml O 2 /min/kg, and a boundary between normal Q p /Q s and high Q p /Q is a ratio of 1.5,
such that the patient state of adequate DO 2 along with high Q p /Q s is defined by DO 2 greater than 25 ml O 2 /min/kg along with Q p /Q s greater than a ratio of 1.5, and
such that the patient state of inadequate DO 2 along with high Q p /Q s is defined by DO 2 less than 25 ml O 2 /min/kg along with Q p /Q s greater than a ratio of 1.5, and such that
the patient state of inadequate DO 2 along with normal Q p /Q s is defined by DO 2 less than 25 ml O 2 /min/kg along with Q p /Q s less than a ratio of 1.5.
9 . The non-transitory computer-readable medium of claim 7 , wherein
(x) the treatment for inadequate DO 2 along with normal Q p /Q s , and the treatment for inadequate DO 2 along with high Q p /Q s is administration of chronotropic medication; and
(y) the treatment for adequate DO 2 along with high Q p /Q s is administration of vasodilation medication.