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Home-hospital care for children with acute illnesses: A 2-year follow-up study.
Cabrera López, Isabel M; Agúndez Reigosa, Beatriz; Adrados García, Sandra; Villalobos Pinto, Enrique; Cano Fernández, Julia; Jiménez García, Raquel.
  • Cabrera López IM; Pediatric Hospital at Home Department, Niño Jesús University Children´s Hospital, Menéndez Pelayo, Madrid, Spain.
  • Agúndez Reigosa B; Pediatric Hospital at Home Department, Niño Jesús University Children´s Hospital, Menéndez Pelayo, Madrid, Spain.
  • Adrados García S; Pediatric Hospital at Home Department, Niño Jesús University Children´s Hospital, Menéndez Pelayo, Madrid, Spain.
  • Villalobos Pinto E; General Pediatrics Department, Niño Jesús University Children´s Hospital, Menéndez Pelayo, Madrid, Spain.
  • Cano Fernández J; General Pediatrics Department, Niño Jesús University Children´s Hospital, Menéndez Pelayo, Madrid, Spain.
  • Jiménez García R; Pediatric Hospital at Home Department, Niño Jesús University Children´s Hospital, Menéndez Pelayo, Madrid, Spain.
J Paediatr Child Health ; 58(6): 969-977, 2022 06.
Article in English | MEDLINE | ID: covidwho-1916209
ABSTRACT

AIM:

Procedures normally performed in the hospital setting are increasingly delivered as part of hospital at home (HAH) programmes. The aim of this study is to describe the procedures and diseases treated during the first 2 years of a new paediatric HAH programme.

METHODS:

This is a retrospective, observational study conducted in the HAH programme of Niño Jesús Children's Hospital (Spain). We included demographic data, diagnosis and procedures delivered to patients admitted to the HAH programme from November 2018 to November 2020.

RESULTS:

There were 935 admissions of 833 patients. The median age was 5 years (interquartile range 2.3-9.5). Seventy-five percent of patients were previously healthy. The most frequent illnesses were acute infections (37%) (e.g. complicated appendicitis and ENT, genitourinary, skin and soft tissue infections) and acute respiratory diseases (17.3%) (e.g. asthma, bronchiolitis and pneumonia). Thirty-six percent of admissions underwent nocturnal polysomnography. The median length of stay was 4 days (SD 4.9 days). Eight percent of the episodes studied required care in the emergency department due to condition worsening (55.3%) and problems with devices (36.1%). Hospital readmission was required in 5.6% of cases, 42.4% of which later resumed care in the HAH. The estimated daily cost of HAH is 330.65 euros, while the hospital per-day costs of polysomnography, asthma and endovenous therapy are 1899.24, 1402.5, and 976.26 euros. Ninety percent of families reported a high level of satisfaction.

CONCLUSIONS:

Paediatric HAH programmes are a feasible, cost-effective alternative to hospital care. Further studies should compare the evolution of patients treated in the traditional hospital setting and those in HAH.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Asthma / Home Care Services Type of study: Cohort study / Observational study / Prognostic study Limits: Child / Child, preschool / Humans Language: English Journal: J Paediatr Child Health Journal subject: Pediatrics Year: 2022 Document Type: Article Affiliation country: Jpc.15870

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Asthma / Home Care Services Type of study: Cohort study / Observational study / Prognostic study Limits: Child / Child, preschool / Humans Language: English Journal: J Paediatr Child Health Journal subject: Pediatrics Year: 2022 Document Type: Article Affiliation country: Jpc.15870