Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic

被引：25
|
作者：
Nogues, Xavier [1 ,2 ]
Sanchez-Martinez, Francisca [1 ,3 ]
Castells, Xavier [4 ,5 ]
Diez-Perez, Adolfo [1 ]
Sabate, Rosa Ana [2 ]
Petit, Irene [1 ]
Brase, Ariadna [1 ]
Horcajada, Juan Pablo [3 ]
Guerri-Fernandez, Roberto [3 ]
Pascual, Julio [6 ]
机构：
[1] Hosp Home Hosp Mar Inst Med Res IMIM, Hosp Mar, Dept Internal Med, CIBER Frailty & Hlth Ageing CIBERFES, Barcelona, Spain
[2] Hosp Home, Hosp Mar, Dept Geriatr, IMIM,CIBER Frailty & Hlth Ageing CIBERFES, Barcelona, Spain
[3] Hosp Mar IMIM, Dept Infect Dis, Barcelona, Spain
[4] Hosp Mar IMIM, Dept Epidemiol & Evaluat, Barcelona, Spain
[5] Res Network Hlth Serv Chron Dis REDISSEC, Barcelona, Spain
[6] Hosp Mar IMIM, Dept Nephrol, Barcelona, Spain
来源：
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | 2021年 / 22卷 / 05期
关键词：
COVID-19; Hospital-at-Home; telemedicine; PROGRAM; OLDER; CARE;
D O I：
10.1016/j.jamda.2021.01.077
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
A Coronavirus Disease 2019 (COVID-19)-specific Hospital-at-Home was implemented in a 400-bed tertiary hospital in Barcelona, Spain. Senior or immune-compromised physicians oversaw patient care. The alternative to inpatient care more than doubled beds available for hospitalization and decreased the risk of transmission among patients and health care professionals. Mild cases from either the emergency department or after hospital discharge were deemed suitable for admission to the Hospital-at-Home. More than half of all patients had pneumonia. Standardized protocols and management criteria were provided. Only 6% of cases required referral for inpatient hospitalization. These results are promising and may provide valuable insight for centers undertaking Hospital-at-Home initiatives or in the case of new COVID-19 outbreaks. (C) 2021 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
引用
收藏
页码：939 / 942
页数：4
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