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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.
  • Nogués X; Department of Internal Medicine Hospital del Mar, Hospital-at-Home Hospital del Mar Institute for Medical Research (IMIM), CIBER on Frailty and Healthy Ageing-CIBERFES, Barcelona, Spain; Hospital-at-Home, Department of Geriatrics, Hospital del Mar, IMIM, CIBER on Frailty and Healthy Ageing-CIBERFES,
  • Sánchez-Martinez F; Department of Internal Medicine Hospital del Mar, Hospital-at-Home Hospital del Mar Institute for Medical Research (IMIM), CIBER on Frailty and Healthy Ageing-CIBERFES, Barcelona, Spain; Department of Infectious Diseases, Hospital del Mar-IMIM, Barcelona, Spain.
  • Castells X; Department of Epidemiology and Evaluation, Hospital del Mar-IMIM, and Research Network on Health Services in Chronic Diseases (REDISSEC), Barcelona, Spain.
  • Díez-Pérez A; Department of Internal Medicine Hospital del Mar, Hospital-at-Home Hospital del Mar Institute for Medical Research (IMIM), CIBER on Frailty and Healthy Ageing-CIBERFES, Barcelona, Spain.
  • Sabaté RA; Hospital-at-Home, Department of Geriatrics, Hospital del Mar, IMIM, CIBER on Frailty and Healthy Ageing-CIBERFES, Barcelona, Spain.
  • Petit I; Department of Internal Medicine Hospital del Mar, Hospital-at-Home Hospital del Mar Institute for Medical Research (IMIM), CIBER on Frailty and Healthy Ageing-CIBERFES, Barcelona, Spain.
  • Brasé A; Department of Internal Medicine Hospital del Mar, Hospital-at-Home Hospital del Mar Institute for Medical Research (IMIM), CIBER on Frailty and Healthy Ageing-CIBERFES, Barcelona, Spain.
  • Horcajada JP; Department of Infectious Diseases, Hospital del Mar-IMIM, Barcelona, Spain.
  • Güerri-Fernández R; Department of Infectious Diseases, Hospital del Mar-IMIM, Barcelona, Spain.
  • Pascual J; Department of Nephrology, Hospital del Mar-IMIM, Barcelona, Spain.
J Am Med Dir Assoc ; 22(5): 939-942, 2021 05.
Article in English | MEDLINE | ID: covidwho-1056841
ABSTRACT
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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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: J Am Med Dir Assoc Journal subject: History of Medicine / Medicine Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: J Am Med Dir Assoc Journal subject: History of Medicine / Medicine Year: 2021 Document Type: Article