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Discharge planning and home care for end-stage COPD patients

J. Escarrabill
European Respiratory Journal 2009 34: 507-512; DOI: 10.1183/09031936.00146308
J. Escarrabill
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Tables

  • Table 1—

    Characteristics of hospital at home

    The hospital-at-home team is composed of doctors and nurses that are dedicated exclusively (or almost exclusively) to this activity
    Identification of a specific group of suitable candidates
    Defined geographical area
    Hospital at home is feasible only if a competent caregiver assumes the responsibility of care
    Hospital at home starts only when patients fulfill clinical criteria, live in a geographical area and both patient and caregiver accept home care
    Hospital-at-home team can visit the patient daily
    Hospital-at-home team can visit the patient on the day of discharge after hospital admission or a visit to the emergency department
    Hospital-at-home team care for patients for a short period of time (generally not >10–15 days)
    There is a report at the end of care (or a joint visit with a general practitioner or community nurses)
    Hospital-at-home outcomes should be analogous to conventional admission care
    • Data from 31.

  • Table 2—

    Experiences of hospital at home

    UKSpain
    GlasgowEdinburghLiverpoolBarcelona
    First author [ref.]Cotton 33Skwarska 34Davies 35Hernández 36
    Subjects n81184150222
    H@H/CC n41/40122/62100/50121/101
    H@H Adms %19.718.325.735.3
    Age yrs
     H@H68.0±1.268.5#70±871.0±9.9
     CC65.7±1.669.9#70±870.5±9.4
    FEV1 L
     H@H0.94#0.77#0.82#1.2#
     CC0.95#0.66#0.76#1.1#
    Females %
     H@H6048.455
     CC5461.340
    Length of stay days
     H@H3.2 (1–16)5¶1.71±2.33
     CC6.1 (1–13)7¶5 (4–7)4.15±4.10
    LTOT %16.046.113.315.3
    Follow-up days60569056
    Mortality %3.75.48.74.95
    • Data are presented as mean±sd or median (range) unless otherwise indicated. #: mean; ¶: median. H@H: hospital-at-home; CC: conventional care in the hospital; Adms: admissions; FEV1: forced expiratory volume in 1 s; LTOT: long-term oxygen therapy.

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Discharge planning and home care for end-stage COPD patients
J. Escarrabill
European Respiratory Journal Aug 2009, 34 (2) 507-512; DOI: 10.1183/09031936.00146308

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Discharge planning and home care for end-stage COPD patients
J. Escarrabill
European Respiratory Journal Aug 2009, 34 (2) 507-512; DOI: 10.1183/09031936.00146308
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  • Article
    • Abstract
    • COPD SEVERITY EVALUATION
    • IMPACT OF HOSPITALISATION
    • DISCHARGE RISK
    • HOSPITAL AT HOME
    • PREVENTION OF HOSPITAL ADMISSION
    • INTEGRATED CARE
    • Statement of interest
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