85-Year-Old Postsurgical Complex Patient Successfully Managed Remotely at the Novel Mayo Clinic's Hospital at Home

Area of Science:

• Podiatry
• Vascular Surgery
• Geriatric Medicine
• Healthcare Management

Background:

• A severe peripheral arterial disease case complicated by a nonhealing wound led to a left toe amputation.
• The patient presented with cellulitis and gangrene at the surgical site, necessitating further intervention.

Observation:

• A transmetatarsal amputation was performed, but flap viability concerns arose post-operatively.
• Due to patient factors, the family declined further surgical options like vascular bypass or below-knee amputation.

Findings:

• The patient was managed non-surgically at home through the Advanced Care at Home (ACH) program, receiving IV antibiotics and wound care.
• The patient was discharged from ACH 11 days after initial hospital admission, indicating successful home-based acute care.

Implications:

• This case demonstrates the potential of home hospital programs for managing complex, elderly, post-operative patients.
• Developing healthcare alternatives to traditional hospitalization is crucial for improving patient outcomes and care accessibility.