Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic.
Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic.
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DOI：
10.1016/j.jamda.2021.01.077
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发表时间：
2021-05
影响因子：
7.6
通讯作者：
Pascual J
中科院分区：
文献类型：
--
作者：
Nogués X;Sánchez-Martinez F;Castells X;Díez-Pérez A;Sabaté RA;Petit I;Brasé A;Horcajada JP;Güerri-Fernández R;Pascual J
在西班牙巴塞罗那一家拥有400张床位的三级医院实施了2019冠状病毒病（COVID-19）特定的居家医院。资深或免疫力低下的医生监督病人的护理。住院治疗的替代办法使可供住院治疗的床位增加了一倍以上，并降低了病人和保健专业人员之间的传播风险。急诊科或出院后的轻度病例被认为适合入住家庭医院。超过一半的患者患有肺炎。提供了标准化的方案和管理标准。只有6%的病例需要转诊住院治疗。这些结果是有希望的，可能为开展居家医院计划或在新的COVID-19爆发的情况下的中心提供有价值的见解。
A Coronavirus Disease 2019 (COVID-19)–specific Hospital-at-Home was implemented in a 400-bed tertiary hospital in Barcelona, Spain. Senior or immune-compromised physicians oversaw patient care. The alternative to inpatient care more than doubled beds available for hospitalization and decreased the risk of transmission among patients and health care professionals. Mild cases from either the emergency department or after hospital discharge were deemed suitable for admission to the Hospital-at-Home. More than half of all patients had pneumonia. Standardized protocols and management criteria were provided. Only 6% of cases required referral for inpatient hospitalization. These results are promising and may provide valuable insight for centers undertaking Hospital-at-Home initiatives or in the case of new COVID-19 outbreaks.
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