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Differences in Results and Related Factors between Hospital-At-Home Modalities in Catalonia: A Cross-Sectional Study
Hospital-at-home (HaH) is a healthcare modality that provides active treatment by healthcare staff in the patient’s home for a condition that would otherwise require hospitalization. The aims were to describe the characteristics of different types of hospital-at-home (HaH), assess their results, and...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7361969/ https://www.ncbi.nlm.nih.gov/pubmed/32414161 http://dx.doi.org/10.3390/jcm9051461 |
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author | Arias-de la Torre, Jorge Zioga, Evangelia Anna María Macorigh, Lizza Muñoz, Laura Estrada, Oriol Mias, Montse Estrada, Maria-Dolors Puigdomenech, Elisa Valderas, Jose M. Martín, Vicente Molina, Antonio J. Espallargues, Mireia |
author_facet | Arias-de la Torre, Jorge Zioga, Evangelia Anna María Macorigh, Lizza Muñoz, Laura Estrada, Oriol Mias, Montse Estrada, Maria-Dolors Puigdomenech, Elisa Valderas, Jose M. Martín, Vicente Molina, Antonio J. Espallargues, Mireia |
author_sort | Arias-de la Torre, Jorge |
collection | PubMed |
description | Hospital-at-home (HaH) is a healthcare modality that provides active treatment by healthcare staff in the patient’s home for a condition that would otherwise require hospitalization. The aims were to describe the characteristics of different types of hospital-at-home (HaH), assess their results, and examine which factors could be related to these results. A cross-sectional study based on data from all 2014 HaH contacts from Catalonia was designed. The following HaH modalities were considered—admission avoidance (n = 7214; 75.1%) and early assisted discharge (n = 2387; 24.9%). The main outcome indicators were readmission, mortality, and length of stay (days). Multivariable models were fitted to assess the association between explanatory factors and outcomes. Hospital admission avoidance is a scheme in which, instead of being admitted to acute care hospitals, patients are directly treated in their own homes. Early assisted discharge is a scheme in which hospital in-care patients continue their treatment at home. In the hospital avoidance modality, there were 8.3% readmissions, 0.9% mortality, and a mean length of stay (SD) of 9.6 (10.6) days. In the early assisted discharge modality, these figures were 7.9%, 0.5%, and 9.8 (11.1), respectively. In both modalities, readmission and mean length of stay were related to comorbidity and type of hospital, and mortality with age. The results of HaH in Catalonia are similar to those observed in other contexts. The factors related to these results identified might help to improve the effectiveness and efficiency of the different HaH modalities. |
format | Online Article Text |
id | pubmed-7361969 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-73619692020-07-21 Differences in Results and Related Factors between Hospital-At-Home Modalities in Catalonia: A Cross-Sectional Study Arias-de la Torre, Jorge Zioga, Evangelia Anna María Macorigh, Lizza Muñoz, Laura Estrada, Oriol Mias, Montse Estrada, Maria-Dolors Puigdomenech, Elisa Valderas, Jose M. Martín, Vicente Molina, Antonio J. Espallargues, Mireia J Clin Med Article Hospital-at-home (HaH) is a healthcare modality that provides active treatment by healthcare staff in the patient’s home for a condition that would otherwise require hospitalization. The aims were to describe the characteristics of different types of hospital-at-home (HaH), assess their results, and examine which factors could be related to these results. A cross-sectional study based on data from all 2014 HaH contacts from Catalonia was designed. The following HaH modalities were considered—admission avoidance (n = 7214; 75.1%) and early assisted discharge (n = 2387; 24.9%). The main outcome indicators were readmission, mortality, and length of stay (days). Multivariable models were fitted to assess the association between explanatory factors and outcomes. Hospital admission avoidance is a scheme in which, instead of being admitted to acute care hospitals, patients are directly treated in their own homes. Early assisted discharge is a scheme in which hospital in-care patients continue their treatment at home. In the hospital avoidance modality, there were 8.3% readmissions, 0.9% mortality, and a mean length of stay (SD) of 9.6 (10.6) days. In the early assisted discharge modality, these figures were 7.9%, 0.5%, and 9.8 (11.1), respectively. In both modalities, readmission and mean length of stay were related to comorbidity and type of hospital, and mortality with age. The results of HaH in Catalonia are similar to those observed in other contexts. The factors related to these results identified might help to improve the effectiveness and efficiency of the different HaH modalities. MDPI 2020-05-13 /pmc/articles/PMC7361969/ /pubmed/32414161 http://dx.doi.org/10.3390/jcm9051461 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Arias-de la Torre, Jorge Zioga, Evangelia Anna María Macorigh, Lizza Muñoz, Laura Estrada, Oriol Mias, Montse Estrada, Maria-Dolors Puigdomenech, Elisa Valderas, Jose M. Martín, Vicente Molina, Antonio J. Espallargues, Mireia Differences in Results and Related Factors between Hospital-At-Home Modalities in Catalonia: A Cross-Sectional Study |
title | Differences in Results and Related Factors between Hospital-At-Home Modalities in Catalonia: A Cross-Sectional Study |
title_full | Differences in Results and Related Factors between Hospital-At-Home Modalities in Catalonia: A Cross-Sectional Study |
title_fullStr | Differences in Results and Related Factors between Hospital-At-Home Modalities in Catalonia: A Cross-Sectional Study |
title_full_unstemmed | Differences in Results and Related Factors between Hospital-At-Home Modalities in Catalonia: A Cross-Sectional Study |
title_short | Differences in Results and Related Factors between Hospital-At-Home Modalities in Catalonia: A Cross-Sectional Study |
title_sort | differences in results and related factors between hospital-at-home modalities in catalonia: a cross-sectional study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7361969/ https://www.ncbi.nlm.nih.gov/pubmed/32414161 http://dx.doi.org/10.3390/jcm9051461 |
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