Hospital at Home for Older Patients With Underlying Comorbidity

2021 ◽  
Author(s):  
Karen Titchener
Keyword(s):  
Older Patients ◽  
Hospital At Home ◽  
At Home

scholarly journals Hospital at Home care for older patients with cognitive impairment: a protocol for a randomised controlled feasibility trial

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020332 ◽  
Author(s):  
Maaike A Pouw ◽  
Agneta H Calf ◽  
Barbara C van Munster ◽  
Jan C ter Maaten ◽  
Nynke Smidt ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Home Care ◽  
Older Patients ◽  
Hospital Care ◽  
Feasibility Trial ◽  
Nursing Home Admission ◽  
Advantages And Disadvantages ◽  
Hospital At Home ◽  
Randomised Controlled ◽  
At Home

IntroductionAn acute hospital admission is a stressful life event for older people, particularly for those with cognitive impairment. The hospitalisation is often complicated by hospital-associated geriatric syndromes, including delirium and functional loss, leading to functional decline and nursing home admission. Hospital at Home care aims to avoid hospitalisation-associated adverse outcomes in older patients with cognitive impairment by providing hospital care in the patient’s own environment.Methods and analysisThis randomised, non-blinded feasibility trial aims to assess the feasibility of conducting a randomised controlled trial in terms of the recruitment, use and acceptability of Hospital at Home care for older patients with cognitive impairment. The quality of care will be evaluated and the advantages and disadvantages of the Hospital at Home care programme compared with usual hospital care. Eligible patients will be randomised either to Hospital at Home care in their own environment or usual hospital care. The intervention consists of hospital level care provided at patients’ homes, including visits from healthcare professionals, diagnostics (laboratory tests, blood cultures) and treatment. The control group will receive usual hospital care. Measurements will be conducted at baseline, during admission, at discharge and at 3 and 6 months after the baseline assessment.Ethics and disseminationInstitutional ethics approval has been granted. The findings will be disseminated through public lectures, professional and scientific conferences, as well as peer-reviewed journal articles. The study findings will contribute to knowledge on the implementation of Hospital at Home care for older patients with cognitive disorders. The results will be used to inform and support strategies to deliver eligible care to older patients with cognitive impairment.Trial registration numberNTR6581; Pre-results.

Hospital-at-home integrated care programme for older patients with orthopaedic conditions: Early community reintegration maximising physical function

Maturitas ◽  
2016 ◽  
Vol 88 ◽  
pp. 65-69 ◽  
Author(s):  
Miquel Àngel Mas ◽  
Conxita Closa ◽  
Sebastià J. Santaeugènia ◽  
Marco Inzitari ◽  
Aida Ribera ◽  
...  
Keyword(s):  
Physical Function ◽  
Integrated Care ◽  
Older Patients ◽  
Community Reintegration ◽  
Care Programme ◽  
Hospital At Home ◽  
At Home

Management of delirium at home in older patients early discharged for a hospital-at-home intervention (HaH)

2012 ◽  
Vol 3 ◽  
pp. S138-S139 ◽  
Author(s):  
M.A. Mas ◽  
S. Gámez ◽  
V. Delgado ◽  
J.A. González-Ares
Keyword(s):  
Older Patients ◽  
Home Intervention ◽  
Hospital At Home ◽  
At Home

scholarly journals Hospital-at-home Integrated Care Programme for the management of disabling health crises in older patients: comparison with bed-based Intermediate Care

2017 ◽  
Vol 46 (6) ◽  
pp. 925-931 ◽  
Author(s):  
Miquel À Mas ◽  
Marco Inzitari ◽  
Sergi Sabaté ◽  
Sebastià J Santaeugènia ◽  
Ramón Miralles
Keyword(s):  
Integrated Care ◽  
Older Patients ◽  
Intermediate Care ◽  
Care Programme ◽  
Hospital At Home ◽  
At Home

Hospital-at-home Integrated Care Program for Older Patients With Orthopedic Processes: An Efficient Alternative to Usual Hospital-Based Care

2017 ◽  
Vol 18 (9) ◽  
pp. 780-784 ◽  
Author(s):  
Conxita Closa ◽  
Miquel À. Mas ◽  
Sebastià J. Santaeugènia ◽  
Marco Inzitari ◽  
Aida Ribera ◽  
...  
Keyword(s):  
Integrated Care ◽  
Older Patients ◽  
Care Program ◽  
Efficient Alternative ◽  
Hospital At Home ◽  
At Home

scholarly journals A systematic review of the physical activity levels of acutely ill older adults in Hospital At Home settings: an under-researched field

2020 ◽  
Author(s):  
Jennifer Scott ◽  
Ukachukwu O. Abaraogu ◽  
Graham Ellis ◽  
Maria Giné-Garriga ◽  
Dawn A. Skelton
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Older Patients ◽  
Functional Change ◽  
Hospital Inpatient ◽  
Activity Levels ◽  
Home Setting ◽  
Physical Activity Levels ◽  
Hospital At Home ◽  
At Home

Abstract Purpose The purpose of this review was to identify, evaluate and synthesise existing evidence reporting the physical activity levels of acutely ill older patients in a ‘Hospital At Home’ setting and compare this to patients with similar characteristics treated in a traditional hospital inpatient setting. Functional changes and any adverse outcomes due to physical activity (e.g. falls) in both settings where PA was reported or recorded were also evaluated as secondary outcomes. Methods A search strategy was devised for the MEDLINE, CINAHL, AMed, PEDRO, OT Seeker and Cochrane databases. Search results were title, abstract and full-text reviewed by two independent researchers. Data were extracted from included articles using a custom form and assessed for quality and risk of bias using the Appraisal Tool for Cross-Sectional Studies. Results No studies set in the Hospital at Home environments were identified. 16 hospital inpatient studies met the criteria for inclusion. Older patients managed in inpatient settings that would be eligible for Hospital at Home services spent 6.6% of their day active and undertook only 881.8 daily steps. Functional change was reported in four studies with both improvement and decline during admission reported. Conclusion There is a lack of published research on the physical activity levels of acutely-ill older adults in Hospital at Home settings. This review has identified a baseline level of activity for older acutely ill patients that would be suitable for Hospital at Home treatment. This data could be used as a basis of comparison in future hospital at home studies, which should also include functional change outcomes to further explore the relationship between physical inactivity and functional decline.

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