A Meta-Analysis of Hospital in the Home

Caplan, Gideon A.; Sulaiman, Nur Suriati; Mangin, Dee; N, Aimonino Ricauda; Wilson, Andrew; Barclay, Louise

doi:10.1093/geroni/igx004.4526

Cited by 13 publications

(12 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Participants at risk of severe disease and those with moderate symptoms were referred to hospital outreach services. The medium A tier of care included nurse-led telehealth assessments overseen by a respiratory physician; the medium B tier provided hospital-in-the-home services, 11 including remote patient monitoring, in-person clinical reviews by nurses and doctors, laboratory investigations, and parenteral medications.…”

Section: The Covid Positive Pathway (Box 1)mentioning

confidence: 99%

The COVID Positive Pathway: a collaboration between public health agencies, primary care, and metropolitan hospitals in Melbourne

Lim

Allard

Devereux

et al. 2022

Medical Journal of Australia

View full text Add to dashboard Cite

Objectives To assess the capacity of the COVID Positive Pathway, a collaborative model of care involving the Victorian public health unit, hospital services, primary care, community organisations, and the North Western Melbourne Primary Health Network, to support people with coronavirus disease 2019 (COVID‐19) isolating at home. Design, setting, participants Cohort study of adults in northwest Melbourne with COVID‐19, 3 August ‒ 31 December 2020. Main outcome measures Demographic and clinical characteristics, and social and welfare needs of people cared for in the Pathway, by care tier level. Results Of 1392 people referred to the Pathway by the public health unit, 858 were eligible for enrolment, and 711 consented to participation; 647 (91%) remained in the Pathway until they had recovered and isolation was no longer required. A total of 575 participants (81%) received care in primary care, mostly from their usual general practitioners; 155 people (22%) received care from hospital outreach services, and 64 (9%) needed high tier care (hospitalisation). Assistance with food and other basic supplies was required by 239 people in the Pathway (34%). Conclusions The COVID Positive Pathway is a feasible multidisciplinary, tiered model of care for people with COVID‐19. About 80% of participants could be adequately supported by primary care and community organisations, allowing hospital services to be reserved for people with more severe illness or with risk factors for disease progression. The principles of this model could be applied to other health conditions if regulatory and funding barriers to information‐sharing and care delivery by health care providers can be overcome.

show abstract

Section: The Covid Positive Pathway (Box 1)mentioning

confidence: 99%

The COVID Positive Pathway: a collaboration between public health agencies, primary care, and metropolitan hospitals in Melbourne

Lim

Allard

Devereux

et al. 2022

Medical Journal of Australia

View full text Add to dashboard Cite

show abstract

“…In a meta-analysis, treating nursing home residents in their familiar environment reduced mortality by 19%, compared with hospital-based treatment. 28 is therefore a safe alternative for selected patients who require acute hospital-level care. 10 In a randomised controlled trial of the Hospital in the Home Programme, home treatment reduced the incidence of delirium by 20%, bowel complications by 22.5%, and bladder complications by 14%.…”

Section: Mortality and Morbiditymentioning

confidence: 99%

Impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation

2018

Asian Journal of Gerontology and Geriatrics

View full text Add to dashboard Cite

Background. Prior to May 2015, our hospital provided only non-urgent geriatric services for nursing home residents. Thereafter, the Connecting Care Programme was introduced to provide acute geriatric services, including administration of intravenous antibiotics and fluids and a variety of other procedures. This audit aimed to investigate the impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation. Methods. Medical records of nursing home residents who presented to the Bankstown-Lidcombe Hospital before (from May to August 2014) and after (from May to August 2015) the Connecting Care Programme were retrospectively reviewed. The two groups were compared in terms of emergency department presentation and discharge rates. Results. Respectively for the group before and after the programme, of all presentations to the emergency department, 276 and 318 involved nursing home residents (6.1% vs 7.1%, p=0.056). Of these, 106 and 167 were discharged from the emergency department (38.4% vs 52.5%, odds ratio=1.76, 95% confidence interval=1.2-2.4, p=0.0008). The Connecting Care Programme increased the discharge rate in those with a diagnosis of fall without fracture (70% vs 88%, p=0.021), respiratory (11% vs 31%, p=0.020), gastrointestinal (34% vs 50%, p=0.025), or cardiovascular (24% vs 60%, p=0.010) complaints. Conclusion. The Connecting Care Programme resulted in an increased discharge rate and decreased hospital admission rate for nursing home residents who presented with fall without fracture, respiratory, gastrointestinal, or cardiovascular complaints. The programme may enable better utilisation of healthcare resources.

show abstract

“…Carer burden was lower compared with usual hospital care. The authors suggested that these outcomes were likely to be generalizable given the range of types of studies and patient populations examined [ 13 ].…”

Section: Outcomes Of Hospital At Home: the Evidence Basementioning

confidence: 99%

Hospital at Home

Leff¹

2015

Geriatrics Models of Care

View full text Add to dashboard Cite

A Meta-Analysis of Hospital in the Home

Cited by 13 publications

References 0 publications

The COVID Positive Pathway: a collaboration between public health agencies, primary care, and metropolitan hospitals in Melbourne

The COVID Positive Pathway: a collaboration between public health agencies, primary care, and metropolitan hospitals in Melbourne

Impact of acute geriatric services for nursing home residents on emergency department presentation and hospitalisation

Hospital at Home

Contact Info

Product

Resources

About