Research Institute on Population and Social Policies


Pneumological Services Network: Integration, Research & Open-innovation (ReSPIRO)

ReSPIRO represents a strategic planning initiative within INNOVAAL, the Public-Private Aggregation for the research, development, experimentation and validation of innovative technologies and services for "Active and Assisted Living" (admitted for funding in response to the MIUR call n.713 / RIC of 29.10.2010) which aims to build a network of skills in the field of design and supply of technological products and services dedicated to the elderly and people with different forms of frailty and disability. ReSPIRO was born from a shared vision aimed at aggregating skills and resources to create an integrated technological supply chain capable of responding, in the broader horizon referable to the field Health, well-being and socio-cultural dynamics, to the needs of social inclusion, safety, assistance and health expressed by subjects in conditions, overt or at risk, of chronicity (respiratory, cardiological, oncological, neurodegenerative diseases, etc.). The Cluster intends to focus on the development of technologies and systems in the field ofActive Assisted Living to support processes of prevention (primary and secondary) and self-management of health, diagnosis, treatment and follow-up in order to favor a complete and personalized management of chronic disease in the home environment (both in the perspective ofhomecare than in that ofhospital at home). ReSPIRO, within the scope of this proposal, aims to ensure continuity of care for the respiratory-chronic patient in respiratory home care (ADR) and integrated (ADI) by preventing and / or promptly managing exacerbations (associated with re-hospitalizations).

The project was funded by the Puglia Region (Notice "AID TO SUPPORT REGIONAL TECHNOLOGICAL CLUSTERS FOR INNOVATION").

Industrial research: development of devices for home monitoring of the health conditions of patients with chronic respiratory failure. IRPPS role: Analysis of health processes.

The constant increase in chronic conditions and the weight of the resulting effects lead to the need to develop a new socio-health model capable of managing the slow onset, the progressive worsening and the considerable complexity of treatment. The integration between hospital and community care is a model to follow. Among the chronic-degenerative pathologies, particular importance is covered by respiratory insufficiency. At present, despite having therapeutic resources (long-term oxygen therapy, home ventilatory therapy), there is no integrated intervention program on the territory aimed at ensuring correct management of the various levels of severity of the disease. Of fundamental importance in this integrated vision is the monitoring of patients in their own home through devices and sensors, which, if implemented in a widespread manner, may be able to report in real time to the competent ASLs the occurrence of actual states of flare-up of the disease, which require the intervention of health personnel. The use of sensors and devices, analyzing the patient's breath (Breath Analysis), would allow the double advantage of controlling in a preventive and non-invasive way respiratory function, thus managing and / or delaying the evolution of chronic respiratory failure. ReSPIRO, by combining the identification of pervasive technologies, also by resorting to micro and nano electronics, and the creation of devices, intends to pursue two strategic objectives: to manage the disease through the integration of treatment paths and to control the parameters related to the state of health of the pneumological patient at home, also through the development and adoption of specific breath "evaluation" sensors, integration with devices for self- and remote monitoring of fundamental parameters and with systems for monitoring compliance to therapy.