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

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 r...

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Autores principales: Nogués, Xavier, Sánchez-Martinez, Francisca, Castells, Xavier, Díez-Pérez, Adolfo, Sabaté, Rosa Ana, Petit, Irene, Brasé, Ariadna, Horcajada, Juan Pablo, Güerri-Fernández, Roberto, Pascual, Julio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AMDA - The Society for Post-Acute and Long-Term Care Medicine. 2021
Materias:
Special Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7847393/
https://www.ncbi.nlm.nih.gov/pubmed/33639115
http://dx.doi.org/10.1016/j.jamda.2021.01.077
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author Nogués, Xavier
Sánchez-Martinez, Francisca
Castells, Xavier
Díez-Pérez, Adolfo
Sabaté, Rosa Ana
Petit, Irene
Brasé, Ariadna
Horcajada, Juan Pablo
Güerri-Fernández, Roberto
Pascual, Julio
author_facet Nogués, Xavier
Sánchez-Martinez, Francisca
Castells, Xavier
Díez-Pérez, Adolfo
Sabaté, Rosa Ana
Petit, Irene
Brasé, Ariadna
Horcajada, Juan Pablo
Güerri-Fernández, Roberto
Pascual, Julio
author_sort Nogués, Xavier
collection PubMed
description 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.
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spelling pubmed-78473932021-02-01 Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic Nogués, Xavier Sánchez-Martinez, Francisca Castells, Xavier Díez-Pérez, Adolfo Sabaté, Rosa Ana Petit, Irene Brasé, Ariadna Horcajada, Juan Pablo Güerri-Fernández, Roberto Pascual, Julio J Am Med Dir Assoc Special Article 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. AMDA - The Society for Post-Acute and Long-Term Care Medicine. 2021-05 2021-01-31 /pmc/articles/PMC7847393/ /pubmed/33639115 http://dx.doi.org/10.1016/j.jamda.2021.01.077 Text en © 2021 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Special Article
Nogués, Xavier
Sánchez-Martinez, Francisca
Castells, Xavier
Díez-Pérez, Adolfo
Sabaté, Rosa Ana
Petit, Irene
Brasé, Ariadna
Horcajada, Juan Pablo
Güerri-Fernández, Roberto
Pascual, Julio
Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic
title Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic
title_full Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic
title_fullStr Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic
title_full_unstemmed Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic
title_short Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic
title_sort hospital-at-home expands hospital capacity during covid-19 pandemic
topic Special Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7847393/
https://www.ncbi.nlm.nih.gov/pubmed/33639115
http://dx.doi.org/10.1016/j.jamda.2021.01.077
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