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| Research article summary (published 27 Mar 2003): |
[Treatment of congestive heart failure in the setting of hospital at home. Study of 158 patients]
(Tratamiento de la insuficiencia cardíaca en régimen de hospitalización a domicilio. Estudio de 158 pacientes.)
Full Abstract
BACKGROUND AND OBJECTIVE: Hospital at Home might become a suitable alternative to traditional hospital admissions for several exacerbated chronic diseases. Congestive heart failure represents an important workload at the hospital level. In this study we present the results of our experience with congestive heart failure patients attended in Hospital at Home regimen during the period 1999-2001. PATIENTS AND METHOD: In 1999 we initiated a program to refer patients with congestive heart failure to Hospital at Home care. The program was agreed by the departments of emergency, cardiology, internal medicine and hospital at home. During the period 1999-2001, 158 patients (mean age = 76) were attended. Ninety one (58%) were women. At the moment of admission, 103 patients (68%) were on functional status IV of the NYHA. RESULTS: On average, patient's stay on hospital at home was 12,8 days. One hundred and twenty three (78%) of them were discharged, 29 (18%) had to be referred back to conventional hospitalisation and six (4%) died. During the 90 days following the discharge from Hospital at Home, the number of visits to the emergency department and the rate of hospital admissions decreased significantly. CONCLUSIONS: Our data confirm Hospital at Home as a valid option to conventional hospital admission for the management of patients with congestive heart failure.
Author information
Author/s: Mendoza Ruiz de Zuazu, Humberto (H); Regalado de los Cobos, José (J); Altuna Basurto, Elena (E); Cía Ruiz, Juan Miguel (JM); Aros Borau, Fernando (F); Lopetegui Eraso, Pedro (P);
Affiliation: Servicio de Hospitalización a Domicilio. Hospital Txagorritxu. Vitoria-Gasteiz. Spain. Hmendoza(-atsign-)htxa.osakidetza.net
Journal and publication information
Publication Type: Comparative Study; English Abstract; Journal Article
Journal: Medicina clínica (Med Clin (Barc)), published in Spain. (Language: spa)
Reference: 2003-Mar; vol 120 (issue 11) : pp 405-7
Dates: Created 2003/04/08; Completed 2003/06/24; Revised 2007/11/15;
PMID: 12681216, status: MEDLINE (last retrieved date: 2/18/2009)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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