Literature DB >> 35372768

Hospital at Home: another piece of the armoury against COVID-19.

Rebekah Schiff1, Maria Oyston1, Matthew Quinn1, Sharmila Walters1, Paul McEnhill1, Megan Collins1.   

Abstract

Introduction: Hospital at Home (@Home) services bring the ward to the patient, providing acute care in the home. The @Home team adapted to support the care of patients with COVID-19 in the community who would otherwise have required hospitalisation.
Methods: An evidence-based guideline and treatment bundle (dexamethasone, oxygen, intravenous fluids and thromboprophylaxis) for managing severe COVID-19 was developed. Data were retrospectively extracted from notes of patients with COVID-19 admitted between 16 December 2020 to 14 February 2021, and service users contacted for feedback.
Results: One-hundred and twenty-five adults with COVID-19 were treated by @Home; 42 severe (34%) and 83 non-severe (66%) infections; average length of stay was 7 days (interquartile range 4-8). Eight-hundred and seventy-five hospital-occupied bed days were saved. Service users emphasised the importance of being with loved ones and the value of respecting peoples' wishes to be at home.
Conclusion: @Home gave people with COVID-19 a choice of active treatment at home, thereby extending available healthcare capacity beyond the acute hospital setting. © Royal College of Physicians 2022. All rights reserved.

Entities:  

Keywords:  COVID-19; admission avoidance and urgent care response; hospital at home; older people; patient choice

Year:  2022        PMID： 35372768      PMCID： PMC8966799          DOI： 10.7861/fhj.2021-0137

Source DB:  PubMed          Journal:  Future Healthc J        ISSN： 2514-6645


  13 in total

1.  Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons? : A Randomized Trial.

Authors:  Sasha Shepperd; Chris Butler; Andrea Cradduck-Bamford; Graham Ellis; Alastair Gray; Anthony Hemsley; Pradeep Khanna; Peter Langhorne; Sam Mort; Scott Ramsay; Rebekah Schiff; David J Stott; Angela Wilkinson; Ly-Mee Yu; John Young
Journal:  Ann Intern Med       Date:  2021-04-20       Impact factor: 25.391

2.  Improving care for patients whose recovery is uncertain. The AMBER care bundle: design and implementation.

Authors:  Irene Carey; Susanna Shouls; Katherine Bristowe; Michelle Morris; Linda Briant; Carole Robinson; Ruth Caulkin; Mathew Griffiths; Kieron Clark; Jonathan Koffman; Adrian Hopper
Journal:  BMJ Support Palliat Care       Date:  2014-09-02       Impact factor: 3.568

3.  Evaluation of Oncology Hospital at Home: Unplanned Health Care Utilization and Costs in the Huntsman at Home Real-World Trial.

Authors:  Kathi Mooney; Karen Titchener; Benjamin Haaland; Lorinda A Coombs; Brock O'Neil; Richard Nelson; Jordan P McPherson; Anne C Kirchhoff; Anna C Beck; John H Ward
Journal:  J Clin Oncol       Date:  2021-05-17       Impact factor: 50.717

4.  The work of older people and their informal caregivers in managing an acute health event in a hospital at home or hospital inpatient setting.

Authors:  Petra Mäkelä; David Stott; Mary Godfrey; Graham Ellis; Rebekah Schiff; Sasha Shepperd
Journal:  Age Ageing       Date:  2020-08-24       Impact factor: 10.668

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

Authors:  Xavier Nogués; Francisca Sánchez-Martinez; Xavier Castells; Adolfo Díez-Pérez; Rosa Ana Sabaté; Irene Petit; Ariadna Brasé; Juan Pablo Horcajada; Roberto Güerri-Fernández; Julio Pascual
Journal:  J Am Med Dir Assoc       Date:  2021-01-31       Impact factor: 4.669

6.  A qualitative study of bereaved relatives' end of life experiences during the COVID-19 pandemic.

Authors:  Jeffrey R Hanna; Elizabeth Rapa; Louise J Dalton; Rosemary Hughes; Tamsin McGlinchey; Kate M Bennett; Warren J Donnellan; Stephen R Mason; Catriona R Mayland
Journal:  Palliat Med       Date:  2021-03-30       Impact factor: 4.762

7.  Adapting a Hospital-at-Home Care Model to Respond to New York City's COVID-19 Crisis.

Authors:  David J Heller; Katherine A Ornstein; Linda V DeCherrie; Pamela Saenger; Fred C Ko; Carl-Philippe Rousseau; Albert L Siu
Journal:  J Am Geriatr Soc       Date:  2020-08-13       Impact factor: 7.538

8.  Insights From Rapid Deployment of a "Virtual Hospital" as Standard Care During the COVID-19 Pandemic.

Authors:  Kranthi Sitammagari; Stephanie Murphy; Marc Kowalkowski; Shih-Hsiung Chou; Matthew Sullivan; Stephanie Taylor; James Kearns; Thomas Batchelor; Carly Rivet; Colleen Hole; Tony Hinson; Pamela McCreary; Ryan Brown; Todd Dunn; Zeev Neuwirth; Andrew McWilliams
Journal:  Ann Intern Med       Date:  2020-11-11       Impact factor: 25.391

9.  Hospital at home for the management of COVID-19: preliminary experience with 63 patients.

Authors:  Juan M Pericàs; David Cucchiari; Orla Torrallardona-Murphy; Júlia Calvo; Júlia Serralabós; Elisenda Alvés; Aleix Agelet; Judit Hidalgo; Eduarda Alves; Eva Castells; Nuria Seijas; Carme Hernández; Marta Bodro; Celia Cardozo; Emmanuel Coloma; David Nicolás
Journal:  Infection       Date:  2020-09-29       Impact factor: 3.553

10.  An integrated emergency department/hospital at home model in mild COVID-19 pneumonia: feasibility and outcomes after discharge from the emergency department.

Authors:  Pere Llorens; Oscar Moreno-Pérez; Begoña Espinosa; Tamara García; Ana Belén Payá; Sonia Sola; Francisca Molina; Francisco Román; Inmaculada Jiménez; Sergio Guzman; Adriana Gil-Rodrigo; Bárbara Peña-Pardo; Esperanza Merino; Joan Gil; David San-Inocencio; Mariano Andrés; José Sánchez-Payá
Journal:  Intern Emerg Med       Date:  2021-02-24       Impact factor: 3.397
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  1 in total

1.  Delivery of elective care in the future.

Authors:  Josh Wall; Simon Ray; Tim Wr Briggs
Journal:  Future Healthc J       Date:  2022-07
  1 in total

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