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[The usefulness of hospital at home in nephrology]

Jordi Ara1, Oriol Estrada, Cristina Riera

  • 1Servicio de Nefrología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain. jara.germanstrias@gencat.net

Medicina Clinica
|May 3, 2006
PubMed

Insights

Moving acute nephrology patients to a Hospital at Home Unit (HHU) is safe and effective. Nephrology patients experienced similar outcomes to other patients in the HHU, with high home discharge rates.

Area of Science:

  • Nephrology
  • Healthcare Management

Context:

  • The Hospital at Home Unit (HHU) model is established for various medical and surgical conditions.
  • Acute nephrology patient care traditionally occurs within hospital settings.

Purpose:

  • To analyze the effectiveness and safety of transferring acute nephrology patients to a Hospital at Home Unit (HHU).

Summary:

  • A review of 79 acute nephrology patients admitted to an HHU over three years showed high comorbidity and acute medical issues.
  • The average HHU length of stay was 12.65 days, with a 1.23 interventions/day rate.
  • 89.9% of patients were discharged home, and 6.3% had readmissions within 30 days, with no significant differences compared to other HHU patients.

Impact:

  • HHU care for acute nephrology patients is a safe and well-accepted alternative, demonstrating comparable outcomes to general HHU patients.
  • This model facilitates successful home discharge for the majority of acute nephrology patients.
  • Findings support the expansion of HHU services to include acute nephrology care.
Abstract

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