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

被引：39

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

基金：

英国科研创新办公室;

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

页码：939 / 942

页数：4

共 23 条

[1] Hospital-at-Home as an Alternative to Release the Overload of Healthcare Systems During the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic [J].

Arias-de la Torre, Jorge ;

Alonso, Jordi ;

Martin, Vicente ;

Valderas, Jose M. .

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2020, 21 (07) :990-991

[2] Clinical, laboratory and radiological characteristics and outcomes of novel coronavirus (SARS-CoV-2) infection in humans: A systematic review and series of meta-analyses [J].

Borges do Nascimento, Israel Junior ;

von Groote, Thilo Caspar ;

O'Mathuna, Donal P. ;

Abdulazeem, Hebatullah Mohamed ;

Henderson, Catherine ;

Jayarajah, Umesh ;

Weerasekara, Ishanka ;

Pericic, Tina Poklepovic ;

Klapproth, Henning Edgar Gerald ;

Puljak, Livia ;

Cacic, Nensi ;

Zakarija-Grkovic, Irena ;

Meirelles Guimaraes, Silvana Mangeon ;

Atallah, Alvaro Nagib ;

Bragazzi, Nicola Luigi ;

Marcolino, Milena Soriano ;

Marusic, Ana ;

Jeroncic, Ana .

PLOS ONE, 2020, 15 (09)

[3] Severe COVID-19 Infections-Knowledge Gained and Remaining Questions [J].

Bos, Lieuwe D. J. ;

Brodie, Daniel ;

Calfee, Carolyn S. .

JAMA INTERNAL MEDICINE, 2021, 181 (01) :9-11

[4] Older Clinicians and the Surge in Novel Coronavirus Disease 2019 (COVID-19) [J].

Buerhaus, Peter I. ;

Auerbach, David I. ;

Staiger, Douglas O. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (18) :1777-1778

[5] Re-engineering the elective surgical service of a tertiary hospital: a historical controlled trial [J].

Caplan, GA ;

Brown, A ;

Crowe, PJ ;

Yap, SJ ;

Noble, S .

MEDICAL JOURNAL OF AUSTRALIA, 1998, 169 (05) :247-251

[6] Clinical characteristics of patients hospitalized with COVID-19 in Spain: Results from the SEMI-COVID-19 Registry [J].

Casas-Rojo, J. M. ;

Anton-Santos, J. M. ;

Millan-Nunez-Cortes, J. ;

Lumbreras-Bermejo, C. ;

Ramos-Rincon, J. M. ;

Roy-Vallejo, E. ;

Artero-Mora, A. ;

Arnalich-Fernandez, F. ;

Garcia-Brunen, J. M. ;

Vargas-Nunez, J. A. ;

Freire-Castro, Sj ;

Manzano-Espinosa, L. ;

Perales-Fraile, I ;

Crestelo-Vieitez, A. ;

Puchades-Gimeno, F. ;

Rodilla-Sala, E. ;

Solis-Marquinez, M. N. ;

Bonet-Tur, D. ;

Fidalgo-Moreno, M. P. ;

Fonseca-Aizpuru, E. M. ;

Carrasco-Sanchez, F. J. ;

Rabadan-Pejenaute, E. ;

Rubio-Rivas, M. ;

Torres-Pena, J. D. ;

Gomez-Huelgas, R. .

REVISTA CLINICA ESPANOLA, 2020, 220 (08) :480-494

[7] Preventing a Parallel Pandemic - A National Strategy to Protect Clinicians' Well-Being [J].

Dzau, Victor J. ;

Kirch, Darrell ;

Nasca, Thomas .

NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (06) :513-515

[8] Novel Coronavirus and Old Lessons - Preparing the Health System for the Pandemic [J].

Hick, John L. ;

Biddinger, Paul D. .

NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (20)

[9] Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China [J].

Huang, Chaolin ;

Wang, Yeming ;

Li, Xingwang ;

Ren, Lili ;

Zhao, Jianping ;

Hu, Yi ;

Zhang, Li ;

Fan, Guohui ;

Xu, Jiuyang ;

Gu, Xiaoying ;

Cheng, Zhenshun ;

Yu, Ting ;

Xia, Jiaan ;

Wei, Yuan ;

Wu, Wenjuan ;

Xie, Xuelei ;

Yin, Wen ;

Li, Hui ;

Liu, Min ;

Xiao, Yan ;

Gao, Hong ;

Guo, Li ;

Xie, Jungang ;

Wang, Guangfa ;

Jiang, Rongmeng ;

Gao, Zhancheng ;

Jin, Qi ;

Wang, Jianwei ;

Cao, Bin .

LANCET, 2020, 395 (10223) :497-506

[10] Risk factors associated with mortality in hospitalized patients with SARS-CoV-2 infection. A prospective, longitudinal, unicenter study in Reus, Spain [J].

Iftimie, Simona ;

Lopez-Azcona, Ana F. ;

Vicente-Miralles, Manuel ;

Descarrega-Reina, Ramon ;

Hernandez-Aguilera, Anna ;

Riu, Francesc ;

Simo, Josep M. ;

Garrido, Pedro ;

Joven, Jorge ;

Camps, Jordi ;

Castro, Antoni .

PLOS ONE, 2020, 15 (09)

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