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Early Discharge Programme on Hospital-at-Home Evaluation for Patients with Immediate Postoperative Course after

Marcos Pajarón-Guerrero1, Manuel Francisco Fernández-Miera1, Juan Carlos Dueñas-Puebla2

  • 1Domiciliary Hospitalisation Unit, Hospital Universitario Marqués de Valdecilla, Santander, Spain.

European Surgical Research. Europaische Chirurgische Forschung. Recherches Chirurgicales Europeennes
|August 10, 2017
PubMed

Insights

Hospital-at-home (HAH) care is a safe and efficient model for early postoperative follow-up after laparoscopic colorectal surgery. This approach significantly reduces healthcare costs compared to traditional hospital stays.

Area of Science:

  • Surgical Care Innovations
  • Health Services Research
  • Patient Outcomes

Background:

  • Assessing the safety and efficiency of Hospital-at-home (HAH) care for early postoperative follow-up.
  • Comparing HAH with traditional hospital care models for colorectal surgery patients.

Purpose of the Study:

  • To audit the safety of an early hospital discharge care model using a HAH unit.
  • To determine the efficiency of HAH compared to traditional care.

Main Methods:

  • Prospective study of 50 patients undergoing laparoscopic colorectal surgery.
  • Transfer to HAH on postoperative day 3 if criteria met, with daily clinical follow-up and analytical controls.
  • Discharge from HAH on postoperative day 7 if clinical course is favorable.

Main Results:

  • No deaths occurred during the follow-up period.
  • Average daily cost in HAH was EUR 174.29 versus EUR 1,032.42 in a surgery ward.
  • Mean hospital stay was 5.5 days.

Conclusions:

  • Early hospital discharge via HAH is a safe and effective model for patients after minimally invasive colorectal surgery.
  • The HAH model offers significant cost savings for the public healthcare system.
  • HAH facilitates efficient postoperative recovery and monitoring.
Abstract

Keywords:
EfficiencyEnhanced recovery after surgeryHospital-at-homeLaparoscopic colorectal surgerySafety

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