June Chia1,2, Eamonn Michael Eeles1,2, Kym Tattam3, Stephanie Yerkovich2. 1. Internal Medicine Services, The Prince Charles Hospital, Brisbane, Queensland, Australia. 2. School of Clinical Medicine, The University of Queensland, Brisbane, Queensland, Australia. 3. Community and Oral Health, Brisbane, Queensland, Australia.
Abstract
OBJECTIVE: To evaluate the safety (mortality and readmissions) and efficiency (length of stay) of the hospital-in-the-home delirium pathway (THDP) compared with hospital-based care. METHODS: Patients admitted to THDP were compared against an age-matched cohort of patients with delirium managed entirely in hospital. Outcome data were obtained through retrospective chart review, and hospital coding was used to identify controls. RESULTS: Ninety-six patients were included in this study, of which 46 were managed on THDP. There was a significant frailty and co-morbidity burden with no differences in the demographic profile between groups. Inpatient length of stay was shorter on THDP (THDP mean 8 days, control 11 days; P = .02). One-month mortality was 13% in THDP compared with 24% in the control group (P = .2). One-month readmission was 30% in THDP and 18% in the control group (P = .23). CONCLUSION: The hospital-in-the-home delirium pathway is a promising alternative to in-hospital delirium care for selected patients.
OBJECTIVE: To evaluate the safety (mortality and readmissions) and efficiency (length of stay) of the hospital-in-the-home delirium pathway (THDP) compared with hospital-based care. METHODS:Patients admitted to THDP were compared against an age-matched cohort of patients with delirium managed entirely in hospital. Outcome data were obtained through retrospective chart review, and hospital coding was used to identify controls. RESULTS: Ninety-six patients were included in this study, of which 46 were managed on THDP. There was a significant frailty and co-morbidity burden with no differences in the demographic profile between groups. Inpatient length of stay was shorter on THDP (THDP mean 8 days, control 11 days; P = .02). One-month mortality was 13% in THDP compared with 24% in the control group (P = .2). One-month readmission was 30% in THDP and 18% in the control group (P = .23). CONCLUSION: The hospital-in-the-home delirium pathway is a promising alternative to in-hospital delirium care for selected patients.
Authors: Kei Ouchi; Shan Liu; Daniel Tonellato; Yonatan G Keschner; Maura Kennedy; David M Levine Journal: J Am Coll Emerg Physicians Open Date: 2021-07-21