Implementation of a hospital-at-home (HAH) unit for hematological patients during the COVID-19 pandemic: safety and feasibility

Gómez‐Centurión, Ignacio; Oarbeascoa, Gillen; Garcı́a, M. C.; Fresneña, María Carmen López; Carreño, María Josefa Martínez; Vilaplana, Vicente Escudero; González-Haba, Eva; Bailén, Rebeca; Dorado, Nieves; Juárez, Luis Miguel; Macias, Gabriela Rodríguez; López, Patricia Font; Encinas, Cristina; Bastos‐Oreiro, Mariana; Anguita, Javier; Sanjurjo, María; Díez-Martin, José L.; Kwon, Mi

doi:10.1007/s12185-021-03219-2

Cited by 14 publications

(18 citation statements)

References 39 publications

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“…In general, and especially since the COVID-19 pandemic, the applications of Hospital at home (i.e., providing acute healthcare in a patient's home as an alternative to traditional inpatient care) have drastically increased [25][26][27]. In patients with heart failure, a metaanalysis indicated that hospital at home significantly increased time to first readmission and improved health-related quality of life compared to routine hospitalization [28].…”

Section: Discussionmentioning

confidence: 99%

Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study

Goudman

Smedt

Huygens

et al. 2021

JCM

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Continuous Intrathecal Drug Delivery through an implanted pump is a well-known therapeutic option for the management of chronic pain and severe disabling spasticity. To have a successful therapy, pump refills need to be performed at regular time intervals after implantation. In line with the increased applications of Hospital at Home, these refill procedures might be performed at the patient’s home. The aim of this pilot study is to evaluate the feasibility, safety, and effectiveness of intrathecal pump refill procedures at home. Twenty patients were included whereby pump refill procedures were conducted at the patient’s home. To enable contact with the hospital, a video connection was set-up. Tele-ultrasound was used as post-refill verification. All procedures were successfully performed with complete patient satisfaction. Ninety-five percent of the patients felt safe during the procedure, and 95% of the procedures felt safe according to the physician. All patients indicated that they preferred their next refill at home. The median time consumption for the physician/nurse at the patient’s home was 26 min and for the researcher at the hospital 15 min. In light of quality enhancement programs and personalized care, it is important to continue urgent pain management procedures in a safe way, even during a pandemic.

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Section: Discussionmentioning

confidence: 99%

Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study

Goudman

Smedt

Huygens

et al. 2021

JCM

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“…Methods to deliver appropriate medication, infusions, oxygen, DME, physical, and occupational therapy and nutrition can be arranged to support the patient's home hospital stay. [4][5][6][7] In the command center, nurses and others follow the patient's status in real-time. Bi-directional audio/visual connections to the command center make nursing and physician rounds not dissimilar from the brick and mortar model.…”

Section: Acute Hospitalization At Home During the Covid-19 Pandemicmentioning

confidence: 99%

“…3 Covid provided the motivation and urgency for hospitals to rapidly consider implementation of virtual home hospitalization for the care of acutely ill patients.Many hospital systems quickly developed HaH offerings for patients with Covid-19 and other conditions. 2,4,5 For the most part, 2 types of HaH became quickly prominent: Admission Avoidance and Early Supported Discharge. Commercial entities, such as Vilify, Contessa, and Medically Home partnered with health systems to develop remote care command centers and promote rapid implementation of virtual home hospitalization.…”

mentioning

confidence: 99%

Virtual Hospitalization at Home After the Covid-19 Pandemic: Time to Consider Our Future Community Healthcare Options

Boone

Shammash

2022

J Prim Care Community Health

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The concept of acute hospitalization at home has been described for over 3 decades. Its scope, however, was largely limited to small experimental trials and pilot studies. The Covid-19 pandemic changed these circumstances. The convergence of the critical need for acute hospital beds along with the growing sophistication and comfort in virtual monitoring facilitated the rapid deployment of hospitalization at home throughout many communities in the United States. Now in the waning times of the pandemic, community health leaders and health systems are questioning what the future role of home virtual hospitalization might be. Might this concept be relegated to only future times of critical bed shortage, or might it be part of a true change in community healthcare delivery.

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“…As the haemato-oncology patient population is especially vulnerable to COVID-19 morbidity and mortality and cancer treatment interruptions, accelerated attempts to employ home care units for anti-neoplastic treatments and supportive care were implemented [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Haematological patients' perception of home transfusions: Effect of the COVID‐19 pandemic

et al. 2022

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Background and Objectives: The COVID-19 pandemic has led to a growing interest in hospital-at-home programmes, including home transfusion services. We studied whether the pandemic had influenced patients' perception of home transfusions. Materials and Methods:We conducted a survey among haematology patients who receive transfusions in the hospital day care facility. Patients were asked about the burden of day care transfusions and whether they would prefer receiving home transfusions. The survey was conducted during the COVID-19 pandemic, and the results were compared with a survey performed before the pandemic (baseline).Results: Sixty patients were included in the COVID-19 cohort and 31 patients in the baseline cohort. There was a non-significant decrease in the proportion of patients willing to receive home transfusions during the pandemic compared with baseline (35% vs. 47%, respectively, p = 0.28). More patients in the COVID-19 cohort were afraid to receive home transfusions (60% compared with 48% at baseline, p = 0.29), and fewer patients believed that hospital transfusion impaired their quality of life (19% compared with 36% at baseline, p = 0.09). These unexpected results may be partly attributed to the shorter time needed to arrive at the hospital during the pandemic and a greater fear of having transfusion-related adverse effects at home. Conclusions:Our results show that the pandemic did not increase the willingness of patients to receive home transfusions, with a non-significant drift towards refusal of home transfusions. Patients' opinions should be taken into consideration when planning for future home transfusion services, by creating a comprehensive approach to patients' needs.

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Implementation of a hospital-at-home (HAH) unit for hematological patients during the COVID-19 pandemic: safety and feasibility

Cited by 14 publications

References 39 publications

Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study

Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study

Virtual Hospitalization at Home After the Covid-19 Pandemic: Time to Consider Our Future Community Healthcare Options

Haematological patients' perception of home transfusions: Effect of the COVID‐19 pandemic

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