Editorial
Home hospitalization in pulmonology: Efficient management and high patient satisfaction
Hospitalización a domicilio en neumología: gestión eficiente con elevada satisfacción de los pacientes
María-Teresa García Sanza,
, Liliana Doval Oubiñab, Francisco Javier González Barcalac
Corresponding author
a Servicio de Urgencias, Hospital do Salnés, Vilagarcía de Arousa, Pontevedra, Spain
b Servicio de Hospitalización a Domicilio, Hospital do Salnés, Vilagarcía de Arousa, Pontevedra, Spain
c Servicio de Neumología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, Spain
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Francisco Javier González Barcala" "autores" => array:3 [ 0 => array:4 [ "nombre" => "María-Teresa" "apellidos" => "García Sanz" "email" => array:1 [ 0 => "maytegsanz@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Liliana" "apellidos" => "Doval Oubiña" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Francisco Javier" "apellidos" => "González Barcala" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital do Salnés, Vilagarcía de Arousa, Pontevedra, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Hospitalización a Domicilio, Hospital do Salnés, Vilagarcía de Arousa, Pontevedra, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Neumología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hospitalización a domicilio en neumología: gestión eficiente con elevada satisfacción de los pacientes" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">New healthcare models have recently been developed to optimize care and streamline costs in the treatment of patients with respiratory disease. Hospital at home (HH) and early supported discharge (ESD), often evaluated jointly in meta-analyses, avoid admissions and shorten the average length of stay in selected patients, while offering a quality of care similar to that provided by conventional hospitalization (CH), along with lower mortality and readmission rates.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1–4</span></a> This approach also increases patient well-being and reduces the risk of nosocomial infection.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> According to a recent study, the combination of HH and telemonitoring would allow most COPD patients to be treated at home, decreasing emergency visits and reducing the number of patients admitted to CH by 60%.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> HH and ESD are safe and effective not only for the treatment of acute COPD, but also for other patients with respiratory symptoms, such as decompensated heart failure,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> respiratory infections in patients with neuromuscular disease,<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> or pulmonary thromboembolism in hemodynamically stable patients.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> Studies conducted in several countries with different health systems and different HH/ESO organizational structures agree that these solutions are less costly than CH, even in older patients with more serious exacerbations or worse baseline status.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2–5,9</span></a> The degree of satisfaction, speed of recovery, and quality perceived by both caregivers and patients treated with HH and ESD is high: a high percentage indicated that they would prefer this type of admission for future exacerbations.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2–4,10</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">However, although the advantages of HH/ESD are manifold and this approach is recommended by clinical guidelines as an alternative to CH,<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">11–14</span></a> it is rarely selected as an admission modality. Dismore et al. recently identified possible causes<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a>: reasons given by patients include fear of being alone during the night, delayed medical care compared to CH in the event of complications, and perceived stigma associated with receiving support from the social services, while some are concerned about privacy issues associated with the presence of strangers in their home. In contrast, some patients see admission to CH as an opportunity to interact with other people or to try to quit smoking. Furthermore, it seems that clinicians continue to believe that CH is safer for their patients and gives caregivers the opportunity for a break to avoid burnout. The development of referral protocols with clear criteria agreed on by all the departments involved would undoubtedly help to reduce the apparent misgivings surrounding this care modality, and underline the clear advantages that it provides for both patients and family members and for the health system.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Several HH/ESD models that differ in terms of infrastructure, professionals involved, number of visits made, telephone support, and access to services such as rehabilitation or social support are efficient if clear inclusion criteria are followed, certain health and social welfare conditions are met, and families are supported. Continuing care can be guaranteed if responsibilities are shared between primary care and HH teams, provided chronic and acute needs are clearly differentiated in order to avoid conflicting responsibilities and overlap with services already covered by primary care.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Now it is our turn.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: García Sanz MT, Doval Oubiña L, González Barcala FJ. Hospitalización a domicilio en neumología: gestión eficiente con elevada satisfacción de los pacientes. Arch Bronconeumol. 2020;56:479–480.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hospital at home for acute resiratory patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F.J. González-Barcala" 1 => "A. Pose-Reino" 2 => "J.J. Paz-Esquete" 3 => "R. De la Fuente-Cid" 4 => "L.A. Masa-Vázquez" 5 => "P. Álvarez-Calderón" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ejim.2006.02.023" "Revista" => array:6 [ "tituloSerie" => "Eur J Intern Med" "fecha" => "2006" "volumen" => "17" "paginaInicial" => "402" "paginaFinal" => "407" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16962946" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Early supported discharge/hospital at home for acute exacerbation of chronic obstructive pulmonary disease: a review and meta-analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C. Echevarría" 1 => "K. Brewin" 2 => "H. Horobin" 3 => "A. Bryant" 4 => "S. Corbett" 5 => "J. Steer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3109/15412555.2015.1067885" "Revista" => array:6 [ "tituloSerie" => "COPD" "fecha" => "2016" "volumen" => "13" "paginaInicial" => "523" "paginaFinal" => "533" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26854816" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Home tratment of COPD exacerbation selected by DECAF score: a non-inferiority, randomised controlled trial and economic evaluation" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C. Echevarría" 1 => "J. Gray" 2 => "T. Hartley" 3 => "J. Steer" 4 => "J. Miller" 5 => "A.J. Simpson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/thoraxjnl-2017-211197" "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "2018" "volumen" => "73" "paginaInicial" => "713" "paginaFinal" => "722" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29680821" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Telemonitoring and home hospitalization in patients with chronic obstructive pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Miron-Rubio" 1 => "R. Ceballos-Fernández" 2 => "I. Parras-Pastor" 3 => "A. Palomo-Iloro" 4 => "B.M. Fernández-Félix" 5 => "J. Medina-Miralles" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/17476348.2018.1442214" "Revista" => array:6 [ "tituloSerie" => "Expert Rev Respir Med" "fecha" => "2018" "volumen" => "12" "paginaInicial" => "335" "paginaFinal" => "343" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29460648" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Substitutive “hospital at home” versus inpatient care for elderly patients with exacerbations of chronic obstructive pulmonary disease: a prospective randomized, controlled trial" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Aimonino" 1 => "V. Tibaldi" 2 => "B. Leff" 3 => "C. Scarafiotti" 4 => "R. Marinello" 5 => "M. Zanocchi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1532-5415.2007.01562.x" "Revista" => array:6 [ "tituloSerie" => "J Am Geriatr Soc" "fecha" => "2008" "volumen" => "56" "paginaInicial" => "493" "paginaFinal" => "500" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18179503" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Home hospitalization for acute descompensated heart failure: oportunities and strategies for improved health outcomes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "K. Voudris" 1 => "M. Silver" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3390/healthcare6020031" "Revista" => array:4 [ "tituloSerie" => "Healthcare (Basal)" "fecha" => "2018" "volumen" => "6" "paginaInicial" => "31" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hospital at Home for neuromuscular disease patients with respiratory tract infection: a pilot study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Vianello" 1 => "F. Savoia" 2 => "E. Pipitone" 3 => "B. Nordio" 4 => "G. Gallina" 5 => "L. Paladini" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4187/respcare.02501" "Revista" => array:6 [ "tituloSerie" => "Respir Care" "fecha" => "2013" "volumen" => "58" "paginaInicial" => "2061" "paginaFinal" => "2068" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23696687" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "National trends in home tratment of acute pulmonary embolism" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.D. Stein" 1 => "F. Matta" 2 => "M. Hughes" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1177/1076029616674827" "Revista" => array:6 [ "tituloSerie" => "Clin Appl Thromb Hemost" "fecha" => "2018" "volumen" => "24" "paginaInicial" => "115" "paginaFinal" => "121" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27789604" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cost-effectiveness of the COPD patient management european trial home-based disease management program" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Bourbeau" 1 => "D. Granados" 2 => "S. Roze" 3 => "I. Durand-Zaleski" 4 => "P. Casan" 5 => "D. Köhler" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2147/COPD.S173057" "Revista" => array:6 [ "tituloSerie" => "Int J Chron Obstruct Pulmon Dis" "fecha" => "2019" "volumen" => "14" "paginaInicial" => "645" "paginaFinal" => "657" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30936689" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "What are the positive drivers and potential barriers to implementation of hospital at home selected by low-risk DECAF score in the UK: a qualitative study embedded within a randomised controlled trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "L.L. Dismore" 1 => "C. Echevarria" 2 => "A. van Wersch" 3 => "J. Goibson" 4 => "E. Bourke" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bmjopen-2018-026609" "Revista" => array:4 [ "tituloSerie" => "BMJ Open" "fecha" => "2019" "volumen" => "9" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31888940" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intermediate care-Hospital-at-Home in chronic obstructive pulmonary disease: British thoracic society guideline" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "British Thoracic Society Guideline Development Group" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/thx.2006.064931" "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "2007" "volumen" => "62" "paginaInicial" => "200" "paginaFinal" => "210" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17090570" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevention of COPD exacerbations: a European Respiratory Society/American Thoracic Society guideline" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.A. Wedzicha" 1 => "P.M.A. Calverley" 2 => "R.K. Albert" 3 => "A. Anzueto" 4 => "G.J. Criner" 5 => "J.R. Hurst" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/13993003.00711-2017" "Revista" => array:4 [ "tituloSerie" => "Eur Respir J" "fecha" => "2017" "volumen" => "50" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29025888" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chronic obstructive pulmonary disease in over 16s: diagnosis and management. NG 115" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "NICE" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2018" "editorial" => "National Institute for Health and Care Excellence" "editorialLocalizacion" => "London" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guía Española de la EPOC (GesEPOC). Versión 2017" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Guía de Práctica Clínica para el Diagnóstico" 1 => "Tratamiento de Pacientes con Enfermedad Pulmonar Obstructiva Crónica (EPOC)" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2017" "volumen" => "53" "numero" => "Supl 1" "paginaInicial" => "S2" "paginaFinal" => "64" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005600000008/v2_202008090657/S1579212920301282/v2_202008090657/en/main.assets" "Apartado" => array:4 [ "identificador" => "45360" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Editorials" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005600000008/v2_202008090657/S1579212920301282/v2_202008090657/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920301282?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 8 | 6 | 14 |
| 2024 October | 38 | 30 | 68 |
| 2024 September | 40 | 13 | 53 |
| 2024 August | 55 | 38 | 93 |
| 2024 July | 45 | 17 | 62 |
| 2024 June | 50 | 41 | 91 |
| 2024 May | 65 | 29 | 94 |
| 2024 April | 27 | 24 | 51 |
| 2024 March | 37 | 21 | 58 |
| 2024 February | 32 | 16 | 48 |
| 2023 November | 16 | 2 | 18 |
| 2023 March | 8 | 3 | 11 |
| 2023 February | 40 | 14 | 54 |
| 2023 January | 26 | 22 | 48 |
| 2022 December | 41 | 22 | 63 |
| 2022 November | 60 | 14 | 74 |
| 2022 October | 49 | 34 | 83 |
| 2022 September | 35 | 26 | 61 |
| 2022 August | 45 | 36 | 81 |
| 2022 July | 28 | 38 | 66 |
| 2022 June | 29 | 32 | 61 |
| 2022 May | 29 | 27 | 56 |
| 2022 April | 35 | 26 | 61 |
| 2022 March | 48 | 30 | 78 |
| 2022 February | 20 | 24 | 44 |
| 2020 October | 1 | 0 | 1 |
| 2020 September | 1 | 2 | 3 |
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