Chronic kidney disease patient health management system and use method

Abstract

The invention provides a chronic kidney disease patient health management system and a use method, the chronic kidney disease patient health management system comprises a remote monitoring server, portable acquisition terminals and a medical care terminal, wireless communication modules are arranged in the remote monitoring server, the portable acquisition terminals and the medical care terminal, and a processing module and a plurality of acquisition devices are arranged in each portable acquisition terminal. The acquisition device used for acquiring various physiological status information of a patient is connected with the processing module which is connected with the remote monitoring server. The remote monitoring server is used for analyzing various physiological state information and generating kidney disease assessment results of the corresponding patients and is connected with the medical care terminal used for generating diagnosis and treatment plans according to the kidney disease assessment results. The problems that in the prior art, the chronic kidney disease of the patient is mostly judged manually, so that an accurate processing result report cannot be obtained, the physiological state of the patient cannot be observed anytime and anywhere, and the optimal diagnosis and treatment time is missed are solved.

Description

TECHNICAL FIELD

[0001] The present application relates to the technical field of chronic disease management, and particularly relates to a chronic kidney disease patient health management system and a use method. BACKGROUND

[0002] Chronic kidney disease (CKD) is a major global public health problem, which not only seriously threatens human health, but also brings heavy social and economic burden. According to statistics, the number of CKD patients worldwide in 2017 has reached nearly 700 million, which is more than the number of patients with diabetes, osteoarthritis, chronic obstructive pulmonary disease, asthma and depression. If not diagnosed and treated in time, CKD can rapidly progress to end-stage renal disease (ESRD). In 2021, the total number of CKD patients in China reached 118 million, with a prevalence rate of 8.32%, and it is estimated that by 2040, CKD will rise to the fifth leading cause of death.

[0003] Although some doctors and medical institutions gradually realize the importance of CKD whole-process management, the overall understanding and attention to this management mode are still insufficient. The existing management of chronic kidney disease is mostly manually performed, for example, patients need to go to multiple test departments to obtain paper test sheets and hand them over to doctors, and doctors manually judge the stage of chronic kidney disease and set the corresponding treatment plan according to various test data, which is time-consuming and laborious, resulting in inaccurate treatment result reports and providing no reference for doctors to treat patients.

[0004] In addition, chronic kidney disease has a long onset cycle and cannot be predicted. Under normal circumstances, patients will not be hospitalized for a long time, so doctors cannot observe the physiological state of patients at any time and anywhere, understand the patient's illness, and often miss the best treatment time, which is poor in timeliness and leads to the inability to urge patients to actively seek treatment in hospitals, further causing harm to patients in terms of economy and life. SUMMARY

[0005] In view of the deficiencies in the prior art, the present application provides a chronic kidney disease patient health management system and a use method, which can solve the problems in the prior art that the judgment of chronic kidney disease of patients is mostly manually performed, resulting in inaccurate treatment result reports, and the inability to observe the physiological state of patients at any time and anywhere, which often misses the best treatment time.

[0006] According to an embodiment of the present application, a chronic kidney disease patient health management system comprises a remote monitoring server, a portable acquisition terminal and a medical terminal, the remote monitoring server, the portable acquisition terminal and the medical terminal are each provided with a wireless communication module, each portable acquisition terminal is provided with a processing module and a plurality of acquisition devices, the acquisition devices for acquiring physiological state information of a patient are connected with the processing module, the processing module for preprocessing the physiological state information is connected with the remote monitoring server through the wireless communication module, the remote monitoring server for analyzing the physiological state information and generating a kidney disease condition assessment result of the patient is connected with the medical terminal for generating a diagnosis and treatment plan according to the kidney disease condition assessment result through the wireless communication module.

[0007] Preferably, the portable acquisition terminal further comprises an input module, an output module and a local storage module, the input module is connected with the processing module and is used for manually entering the physiological state information of the patient; The remote monitoring server sends the kidney disease condition assessment result and the diagnosis and treatment plan generated by the medical terminal to the processing module, the processing module is connected with the local storage module and is used for storing the processed physiological state information, the kidney disease condition assessment result and the diagnosis and treatment plan in the local storage module; The output module is used for displaying the physiological state information, the kidney disease condition assessment result and the diagnosis and treatment plan in the local storage module.

[0008] Preferably, the medical terminal comprises a first-level terminal, a second-level terminal and a third-level terminal which are connected in sequence from high to low, the first-level terminal is connected with the remote monitoring server through the wireless communication module, and the first-level terminal, the second-level terminal and the third-level terminal are each provided with an alarm module.

[0009] Preferably, the remote monitoring server comprises an analysis module and a cloud storage module, the analysis module is used for analyzing the physiological state information and generating the kidney disease condition assessment result, and the kidney disease condition assessment result comprises a disease stage and corresponding abnormal data; The cloud storage module is used for storing the kidney disease condition assessment result and the corresponding diagnosis and treatment plan.

[0010] Preferably, the portable acquisition terminal and the medical terminal are any one of a smart phone, a tablet computer or a desktop computer with a video communication system.

[0011] On the other hand, according to an embodiment of the present application, a use method of a chronic kidney disease patient health management system is also provided, characterized in that the method uses the above-mentioned chronic kidney disease patient health management system and comprises: S1: the patient installs the collection device at the corresponding position of the body and starts, the collection device automatically collects the physiological state information of the patient and sends it to the processing module, and the patient manually enters part of the physiological state information using the input module and sends it to the processing module; S2: the processing module sends the physiological state information to the analysis module through the wireless communication module, the analysis module analyzes the physiological state information, generates a kidney condition assessment result, and then sends the kidney condition assessment result to the primary terminal through the wireless communication module; S3: the primary terminal sends the kidney condition assessment result to the secondary terminal or the tertiary terminal according to the patient corresponding to the kidney condition assessment result, and the secondary terminal or the tertiary terminal generates a corresponding diagnosis and treatment plan according to the kidney condition assessment result, and then uploads the diagnosis and treatment plan to the primary terminal; S4: the primary terminal sends the diagnosis and treatment plan to the analysis module, and the analysis module sends the diagnosis and treatment plan and the kidney condition assessment result to the processing module and stores them in the local storage module; S5: the output module calls and displays the diagnosis and treatment plan and the kidney condition assessment result in the local storage module.

[0012] Preferably, the kidney condition assessment result includes glomerular filtration rate classification, blood pressure classification, blood sugar classification, blood uric acid classification, and blood lipid classification.

[0013] Preferably, the physiological state information includes the patient's electrocardio, blood oxygen, pulse rate, respiration, body temperature, blood pressure, blood sugar, blood uric acid, and blood lipid, wherein the electrocardio, blood oxygen, pulse rate, respiration, body temperature, and blood pressure are automatically collected by the collection device, and the blood sugar, blood uric acid, and blood lipid are manually entered by the input module.

[0014] Preferably, after the secondary terminal and the tertiary terminal generate the diagnosis and treatment plan, the diagnosis and treatment plan needs to be uploaded level by level, and the terminal at a higher level needs to review the diagnosis and treatment plan uploaded by the terminal at a lower level.

[0015] Compared with the prior art, the present application has the following beneficial effects: The present application collects the physiological state information of the patient manually or automatically through the portable collection terminal, and then sends the physiological state information to the remote monitoring server for analysis to generate a kidney condition assessment result, so that the body state of the patient can be known remotely, and the physiological state of the patient can be observed at any time and any place. The remote monitoring server sends the kidney condition assessment result to medical terminal at all levels, and the doctor generates a diagnosis and treatment plan using the medical terminal according to the kidney condition assessment result, so that the kidney condition is assessed automatically according to the physiological state information, the human factor is reduced, the judgment accuracy of the patient's condition is improved, and the rationality of the doctor's arrangement of the diagnosis and treatment plan is improved. BRIEF DESCRIPTION OF DRAWINGS

[0016] Figure 1 This is a diagram of the health management system architecture of Embodiment 1 of the present invention.

[0017] Figure 2 This is a flowchart illustrating the usage of the health management system architecture in Embodiment 2 of the present invention. Detailed Implementation

[0018] The technical solutions of the present invention will be further described below with reference to the accompanying drawings and embodiments.

[0019] Example 1: like Figure 1 As shown in the figure, this invention proposes a health management system for patients with chronic kidney disease, including: a remote monitoring server, a portable data acquisition terminal, and a medical terminal. Each of the remote monitoring server, portable data acquisition terminal, and medical terminal is equipped with a wireless communication module. Each portable data acquisition terminal is equipped with a processing module and multiple data acquisition devices. The data acquisition devices for collecting various physiological state information of the patient are connected to the processing module. The processing module, used for preprocessing the various physiological state information, is connected to the remote monitoring server via the wireless communication module. The remote monitoring server, which analyzes the various physiological state information and generates corresponding kidney condition assessment results for the patient, is connected to the medical terminal, used for generating treatment plans based on the kidney condition assessment results, via the wireless communication module.

[0020] During use, the remote monitoring server connects the portable data acquisition terminal and the medical terminal via a wireless communication module. Doctors or nurses use the medical terminal, while patients use the portable data acquisition terminal, forming an interconnected closed-loop management system. Patients install the data acquisition device on the portable terminal at a designated location on their body. Activating the portable terminal automatically collects some of the patient's physiological status information, such as ECG, blood oxygen, pulse rate, respiration, body temperature, and blood pressure. Additionally, for some physiological status information that cannot be collected through external ports or sensors, such as blood glucose, uric acid, and blood lipids, manual data entry can be performed after laboratory tests at the hospital. This physiological status information is pre-processed by the processing module and then automatically sent to the remote monitoring server via the wireless communication module. This allows for remote monitoring of the patient's physical condition, enabling observation of the patient's physiological status anytime, anywhere. Both the portable data acquisition terminal and the medical terminal can be any of a smartphone, tablet, or desktop computer with a video communication system.

[0021] After receiving this physiological status information, the remote server uses a built-in staging algorithm to identify and analyze it, determining the stage of the patient's chronic kidney disease and generating a kidney condition assessment result. This automatic assessment of kidney condition based on physiological status information reduces human error and improves the accuracy of patient diagnosis. The remote monitoring server then transmits the kidney condition assessment result to the medical terminal via a wireless communication module. Doctors collaboratively set up treatment plans based on the assessment results. Because the kidney condition assessment result is entirely generated automatically by the computer, without any human intervention, it improves the rationality of the treatment plan. The remote monitoring server then forwards the treatment plan and kidney condition assessment result to the patient's personal data collection terminal. The patient can then adjust their self-prevention and treatment methods in real time according to the treatment plan, improving the treatment outcome for chronic kidney disease.

[0022] The portable data collection terminal also includes an input module, an output module, and a local storage module. The input module is connected to the processing module and is used to manually input various physiological status information of the patient. The remote monitoring server sends the kidney condition assessment results and the treatment plan generated by the medical terminal to the processing module. The processing module is connected to the local storage module to store the processed physiological status information, kidney condition assessment results and treatment plan into the local storage module. The output module is used to display various physiological status information, kidney condition assessment results, and treatment plans stored in the local storage module.

[0023] For physiological status information that cannot be collected by the acquisition device, the patient can manually enter it using the input module. For physiological status information that can be collected by the acquisition device, the input module automatically reads the data information from the acquisition device and automatically enters it.

[0024] After preprocessing the physiological status information and receiving the treatment plan and kidney condition assessment results from the remote monitoring server, the processing module stores them in the local storage module to record various types of patient treatment data. The output module is a touch screen display, which can call up various types of treatment data stored in the local storage module, and view and modify the collected physiological status information and the received treatment plan and kidney condition assessment results.

[0025] The medical terminal includes a first-level terminal, a second-level terminal, and a third-level terminal connected in descending order of level. The first-level terminal is connected to the remote monitoring server via a wireless communication module. All three levels of terminals are equipped with alarm modules.

[0026] The primary terminal is used by the head of the superior department, the secondary terminal by the head of the subordinate department, and the tertiary terminal by the outpatient physicians in the subordinate departments. The remote monitoring server sends the kidney condition assessment results to the primary terminal via a wireless communication module. The primary terminal, based on the patient's records in the hospital, sends the patient's kidney condition assessment results to the corresponding secondary terminal, which then forwards them to the corresponding outpatient physician at the tertiary terminal. For example, in the case of a chronic kidney disease patient in this invention, the forwarding path of the kidney condition assessment results is: remote monitoring server -- primary terminal (head of internal medicine department) -- secondary terminal (head of nephrology department) -- tertiary terminal (outpatient physician in nephrology department).

[0027] The remote monitoring server includes an analysis module and a cloud storage module. The analysis module is used to analyze physiological state information and generate kidney condition assessment results, which include disease stage and corresponding abnormal data. The cloud storage module is used to store kidney condition assessment results and corresponding treatment plans.

[0028] The analysis module has a built-in analysis model for analyzing physiological state information and obtaining kidney condition assessment results, which include glomerular filtration rate classification, blood pressure classification, blood glucose classification, blood uric acid classification, and blood lipid classification.

[0029] After receiving the kidney condition assessment results and the treatment plan sent from the primary terminal, the kidney condition assessment results and treatment plan are stored in the cloud storage module for safekeeping.

[0030] Example 2: like Figure 2 As shown, the present invention also provides a method for using a health management system for patients with chronic kidney disease. This method uses the aforementioned health management system for patients with chronic kidney disease, comprising: S1: The patient installs the data acquisition device in the corresponding position on the body and starts it. The data acquisition device automatically collects the patient's corresponding physiological status information and sends it to the processing module. At the same time, the patient manually enters some physiological status information using the input module and sends it to the processing module. S2: The processing module sends physiological status information to the analysis module via the wireless communication module. The analysis module analyzes the physiological status information, generates a kidney condition assessment result, and then sends the kidney condition assessment result to the primary terminal via the wireless communication module. The remote monitoring server sends the kidney condition assessment result to medical terminals at all levels. Based on the kidney condition assessment result, doctors use the medical terminals to generate treatment plans. In this way, by automatically assessing the kidney condition based on the physiological status information, human factors are reduced, the accuracy of the judgment of the patient's condition is improved, and the rationality of the subsequent treatment plan arrangement by the doctor is enhanced. S3: The primary terminal sends the kidney condition assessment results to the secondary or tertiary terminal based on the patient's kidney condition assessment results. The secondary or tertiary terminal generates a corresponding treatment plan based on the kidney condition assessment results and then uploads the treatment plan to the primary terminal. After generating the treatment plan, the secondary and tertiary terminals need to upload the treatment plan level by level. At the same time, the higher-level terminals need to review the treatment plans uploaded by the lower-level terminals. In addition, through the portable data collection terminal, the patient manually enters or the system automatically collects the patient's physiological status information and then sends the physiological status information to the remote monitoring server for analysis to generate kidney condition assessment results. This allows for remote awareness of the patient's physical condition and observation of the patient's physiological status anytime and anywhere. S4: The primary terminal sends the treatment plan to the analysis module, and the analysis module sends the treatment plan and kidney condition assessment results to the processing module and stores them in the local storage module; S5: The output module retrieves and displays the treatment plan and kidney condition assessment results stored in the local storage module.

[0031] Through a wearable data collection terminal, patients can manually enter or automatically collect their physiological status information. This information is then sent to a remote monitoring server for analysis, generating a kidney condition assessment result. This allows for remote monitoring of the patient's physical condition, enabling observation of their physiological status anytime, anywhere. Physiological status information includes the patient's electrocardiogram, blood oxygen, pulse rate, respiration, body temperature, blood pressure, blood glucose, blood uric acid, and blood lipids. Among them, electrocardiogram, blood oxygen, pulse rate, respiration, body temperature, and blood pressure are automatically collected by the acquisition device, while blood glucose, blood uric acid, and blood lipids are manually entered through the input module.

[0032] The kidney condition assessment results include glomerular filtration rate classification, blood pressure classification, blood glucose classification, blood uric acid classification, and blood lipid classification.

[0033] Glomerular filtration rate (GFR) grading data includes grades one through five, with grade one GFR being greater than or equal to 90%. It belongs to stage 1 chronic kidney disease; the secondary glomerular filtration rate range is 60-89%. It belongs to stage 2 chronic kidney disease; the glomerular filtration rate (GFR) range for grade 3 is 30-59%. This is stage 3 chronic kidney disease; the glomerular filtration rate (GFR) range for grade IV is 15-29. It belongs to stage 4 chronic kidney disease; the glomerular filtration rate (GFR) of grade 5 is less than 15. He has stage 5 chronic kidney disease and requires dialysis treatment.

[0034] Blood pressure classification data includes four levels: Level 1 is systolic blood pressure of 90-139 mmHg and / or diastolic blood pressure of 60-89 mmHg, which is considered normal blood pressure; Level 2 is systolic blood pressure of 140-159 mmHg and / or diastolic blood pressure of 90-99 mmHg, which is considered mild hypertension; Level 3 is systolic blood pressure of 160-179 mmHg and / or diastolic blood pressure of 100-109 mmHg, which is considered moderate hypertension; and Level 4 is systolic blood pressure ≥180 mmHg and / or diastolic blood pressure ≥110 mmHg, which is considered severe hypertension.

[0035] Blood glucose data is categorized into three levels. Level 1 blood glucose is considered normal, with a fasting blood glucose level less than 5.6 mmol / L and a two-hour postprandial blood glucose level less than 7.8 mmol / L. Level 2 blood glucose is considered high-risk for diabetes, with a fasting blood glucose level of 5.6-6.5 mmol / L and a two-hour postprandial blood glucose level of 7.8-11.1 mmol / L. Level 3 blood glucose is considered diabetic, with a fasting blood glucose level greater than 7.0 mmol / L and a two-hour postprandial blood glucose level greater than 11.1 mmol / L.

[0036] Serum uric acid grading data includes a secondary data range. The primary data range is 208.0-428.0 μmol / L, which is within the normal range. The secondary data range is greater than 428.0 μmol / L, which is considered hyperuricemia.

[0037] The lipid classification data includes two levels. The first level of lipid classification is a fasting serum total cholesterol level of less than 5.20 mmol / L and a triglyceride level of less than 1.70 mmol / L, which is within the normal range. The second level of lipid classification is a fasting serum total cholesterol level of greater than 5.20 mmol / L and a triglyceride level of greater than 1.70 mmol / L, which is classified as hyperlipidemia.

[0038] Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention and are not intended to limit it. Although the present invention has been described in detail with reference to preferred embodiments, those skilled in the art should understand that modifications or equivalent substitutions can be made to the technical solutions of the present invention without departing from the spirit and scope of the technical solutions of the present invention, and all such modifications or substitutions should be covered within the scope of the claims of the present invention.

Claims

1. A health management system for patients with chronic kidney disease, characterized in that: include: The system includes a remote monitoring server, a portable data acquisition terminal, and a medical terminal. Each of these components is equipped with a wireless communication module. Each portable data acquisition terminal contains a processing module and multiple data acquisition devices. The data acquisition devices, used to collect various physiological status information of the patient, are connected to the processing module. The processing module, used to preprocess the various physiological status information, is connected to the remote monitoring server via the wireless communication module. The remote monitoring server, which analyzes the various physiological status information and generates corresponding kidney condition assessment results for the patient, is connected to the medical terminal, used to generate treatment plans based on the kidney condition assessment results, via the wireless communication module.

2. The health management system for patients with chronic kidney disease as described in claim 1, characterized in that: The portable data collection terminal also includes an input module, an output module, and a local storage module. The input module is connected to the processing module and is used to manually input various physiological status information of the patient. The remote monitoring server sends the kidney condition assessment results and the treatment plan generated by the medical terminal to the processing module. The processing module is connected to the local storage module and is used to store the processed physiological status information, kidney condition assessment results and treatment plan into the local storage module. The output module is used to display various physiological status information, kidney condition assessment results, and treatment plans stored in the local storage module.

3. The health management system for patients with chronic kidney disease as described in claim 1, characterized in that: The medical terminal includes a first-level terminal, a second-level terminal, and a third-level terminal connected in descending order of hierarchy. The first-level terminal is connected to the remote monitoring server via a wireless communication module. Each of the first-level, second-level, and third-level terminals is equipped with an alarm module.

4. The health management system for patients with chronic kidney disease as described in claim 1, characterized in that: The remote monitoring server includes an analysis module and a cloud storage module. The analysis module is used to analyze physiological state information and generate kidney condition assessment results, which include disease stage and corresponding abnormal data. The cloud storage module is used to store kidney condition assessment results and corresponding treatment plans.

5. A health management system for patients with chronic kidney disease as described in claim 1, characterized in that: Both the portable data collection terminal and the medical terminal can be any one of a smartphone, tablet computer, or desktop computer with a video communication system.

6. A method for using a health management system for patients with chronic kidney disease, characterized in that: The method uses a health management system for patients with chronic kidney disease as described in any one of claims 1-5, comprising: S1: The patient installs the data acquisition device in the corresponding position on the body and starts it. The data acquisition device automatically collects the patient's corresponding physiological status information and sends it to the processing module. At the same time, the patient manually enters some physiological status information using the input module and sends it to the processing module. S2: The processing module sends physiological status information to the analysis module through the wireless communication module. The analysis module analyzes the physiological status information, generates a kidney condition assessment result, and then sends the kidney condition assessment result to the primary terminal through the wireless communication module. S3: The primary terminal sends the kidney condition assessment results to the secondary or tertiary terminal based on the kidney condition assessment results of the corresponding patient. The secondary or tertiary terminal generates the corresponding treatment plan based on the kidney condition assessment results and then uploads the treatment plan to the primary terminal. S4: The primary terminal sends the treatment plan to the analysis module, and the analysis module sends the treatment plan and kidney condition assessment results to the processing module and stores them in the local storage module; S5: The output module retrieves and displays the treatment plan and kidney condition assessment results stored in the local storage module.

7. The method of using the health management system for patients with chronic kidney disease as described in claim 6, characterized in that: The kidney condition assessment results include glomerular filtration rate classification, blood pressure classification, blood glucose classification, blood uric acid classification, and blood lipid classification.

8. The method of using the health management system for patients with chronic kidney disease as described in claim 6, characterized in that: The physiological status information includes the patient's electrocardiogram (ECG), blood oxygen saturation, pulse rate, respiration, body temperature, blood pressure, blood glucose, blood uric acid, and blood lipids. ECG, blood oxygen saturation, pulse rate, respiration, body temperature, and blood pressure are automatically collected by the acquisition device, while blood glucose, blood uric acid, and blood lipids are manually entered through the input module.

9. The method of using the health management system for patients with chronic kidney disease as described in claim 6, characterized in that: After the secondary and tertiary terminals generate treatment plans, they need to upload the treatment plans level by level. At the same time, higher-level terminals need to review the treatment plans uploaded by lower-level terminals.

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