Hospital at home for acute respiratory patients

Efficacy of hospital in the home services providing care for patients admitted from emergency departments

“…Twenty-two articles met the inclusion criteria for this review, including 10 RCTs, 28-37 five observational studies, 24,38-41 one cost analysis, 42 one case-controlled study, 43 three Cochrane reviews 9,19,20 and two papers from the grey literature. 11,15 Table 1 summarizes findings from these papers.…”

“…11,15 Table 1 summarizes findings from these papers. The majority of these studies were conducted in Australia, 24,[28][29][30][31]38,39,41 with the remainder conducted in New Zealand (n ¼ 2), 32,37 the United Kingdom (n ¼ 2), 33,34 Spain (n ¼ 3) 35,40,43 and Italy (n ¼ 1). 36 Sample sizes varied, from 24 in the smallest study, 40 to 3423 in the largest, 24 although sample size calculations were reported by only five studies.…”

“…[32][33][34][35]37 Whereas some studies targeted participants with a single condition such as COPD, 19,20,31,33,34 cellulites 37,41 or pneumonia, 32,38 others targeted participants with various conditions such as pneumonia, cellulitis, deep vein thrombosis (DVT) and urinary sepsis. 9,24,[28][29][30]39,43 The most commonly targeted conditions were respiratory infection, cellulitis, COPD and DVT. All studies included in this review measured the effectiveness of an admissionavoidance HiTH programme, and all studies recruited participants from the ED; however, some studies recruited up to 60% of participants from the community, via general practitioner (GP) referral.…”

“…LOS varied considerably, mean and median LOS ranging from 6 to 11 days 24,[28][29][30]35,37,38,40,42,43 and 4 to 7 days, 32,34,39 respectively. LOS varied considerably, mean and median LOS ranging from 6 to 11 days 24,[28][29][30]35,37,38,40,42,43 and 4 to 7 days, 32,34,39 respectively.…”

Early Discharge Programme on Hospital-at-Home Evaluation for Patients with Immediate Postoperative Course after Laparoscopic Colorectal Surgery

“…They are capable of providing levels of diagnosis, care, and treatment in their home for a limited time like those offered in the hospitals on which they depend [8]. Most HAH units are essentially managed by internal medicine specialists or family doctors and have the capacity to see to a broad variety of clinical processes such as intravenous domiciliary antibiotic treatment of various infections [9], pulmonary embolism, acute renal failure, and decompensations of chronic diseases such as heart failure [10] and COPD [11]. However, there are virtually no experiences published by HAH units on domiciliary care under the early discharge regimen of surgical patients during the immediate postoperative period.…”