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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">We carried out a randomized controlled trial to evaluate the efficacy of a home hospitalization &#40;HH&#41; program for patients hospitalized for exacerbation of chronic obstructive pulmonary disease &#40;COPD&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Patients who were clinically stable and had stable arterial blood gases were randomized to the conventional hospitalization group or the HH group&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Of the 88 patients evaluated&#44; 40 &#40;20 in each group&#41; were enrolled&#46; No differences were observed in baseline characteristics&#44; in clinical recovery&#44; or arterial blood gases between the 2 groups at discharge&#46; At 1-month follow up there were no differences in mortality or in the number of readmissions&#46; The mean length of hospitalization in patients with HH was 9&#46;2 days &#40;4 days in hospital and 5 days at home&#41;&#44; compared to 12&#46;2 days in patients with conventional hospitalization&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Our results show that a hospital-supervised HH program including the participation of pneumologists and nursing staff allows for the recovery of patients hospitalized for exacerbation of COPD who have stable symptoms and arterial blood gases with no increase in the rate of readmission&#44; relapse&#44; or therapeutic failure&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Evaluaci&#243;n de un programa de hospitalizaci&#243;n domiciliaria en pacientes con EPOC agudizada</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio prospectivo&#44; controlado y aleatorizado en grupos paralelos con el fin de evaluar la eficacia de un programa de hospitalizaci&#243;n domiciliaria &#40;HD&#41; en pacientes ingresados en el hospital por agudizaci&#243;n de la enfermedad pulmonar obstructiva cr&#243;nica &#40;EPOC&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Los pacientes que cumpl&#237;an criterios de estabilidad cl&#237;nica y gasom&#233;trica al tercer d&#237;a se aleatorizaron al grupo de hospitalizaci&#243;n convencional o al grupo HD&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">De los 88 pacientes valorados se incluy&#243; a 40 &#40;20 en cada grupo&#41;&#46; No se apreciaron diferencias en las caracter&#237;sticas basales&#44; en la recuperaci&#243;n cl&#237;nica ni en la gasometr&#237;a al alta entre ambos grupos&#46; Al mes de seguimiento no hubo diferencias en la mortalidad ni en el n&#250;mero de read-misiones&#46; La estancia media de los pacientes con HD fue de 9&#44;2 d&#237;as &#40;4 d&#237;as en el hospital y 5 d&#237;as en su domicilio&#41;&#44; frente a los 12&#44;2 d&#237;as que permanecieron los pacientes en el hospital&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Nuestros resultados demuestran que un programa de HD controlado desde el hospital&#44; con participaci&#243;n de neum&#243;logos y personal de enfermer&#237;a&#44; en enfermos ingresados con exacerbaci&#243;n de la EPOC que cumplen unos requisitos de estabilidad cl&#237;nica y gasom&#233;trica&#44; permite la recuperaci&#243;n del paciente sin un aumento en la tasa de reingresos&#44; reca&#237;das o fracasos terap&#233;uticos&#46;</p>"
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Vol. 41. Issue 1.
Pages 5-10 (January 2005)
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Vol. 41. Issue 1.
Pages 5-10 (January 2005)
Original Articles
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Evaluation of a Home Hospitalization Program in Patients With Exacerbations of Chronic Obstructive Pulmonary Disease
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S. Díaz Lobatoa,
Corresponding author
sdl01m@nacom.es

Correspondence: Dr. S. Díaz Lobato. Federico García Lorca, 2, portal 7, 2.° A. 28770 Madrid. España
, F. González Lorenzoa, M.A. Gómez Mendietaa, S. Mayoralas Alisesb, I. Martín Arechabalac, C. Villasante Fernández-Montesa
a Servicio de Neumología, Hospital Universitario La Paz, Madrid, Spain
b Servicio de Neumología, Hospital de Móstoles, Móstoles, Madrid, Spain
c Departamento de Nuevos Desarrollos, Carburos Metálicos, Madrid, Spain
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Abstract
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Objective

We carried out a randomized controlled trial to evaluate the efficacy of a home hospitalization (HH) program for patients hospitalized for exacerbation of chronic obstructive pulmonary disease (COPD).

Patients and methods

Patients who were clinically stable and had stable arterial blood gases were randomized to the conventional hospitalization group or the HH group.

Results

Of the 88 patients evaluated, 40 (20 in each group) were enrolled. No differences were observed in baseline characteristics, in clinical recovery, or arterial blood gases between the 2 groups at discharge. At 1-month follow up there were no differences in mortality or in the number of readmissions. The mean length of hospitalization in patients with HH was 9.2 days (4 days in hospital and 5 days at home), compared to 12.2 days in patients with conventional hospitalization.

Conclusions

Our results show that a hospital-supervised HH program including the participation of pneumologists and nursing staff allows for the recovery of patients hospitalized for exacerbation of COPD who have stable symptoms and arterial blood gases with no increase in the rate of readmission, relapse, or therapeutic failure.

Evaluación de un programa de hospitalización domiciliaria en pacientes con EPOC agudizada

Key Words:
Chronic obstructive pulmonary disease
COPD
Home hospitalization
Early discharge
Objetivo

Se ha realizado un estudio prospectivo, controlado y aleatorizado en grupos paralelos con el fin de evaluar la eficacia de un programa de hospitalización domiciliaria (HD) en pacientes ingresados en el hospital por agudización de la enfermedad pulmonar obstructiva crónica (EPOC).

Pacientes Y Métodos

Los pacientes que cumplían criterios de estabilidad clínica y gasométrica al tercer día se aleatorizaron al grupo de hospitalización convencional o al grupo HD.

Resultados

De los 88 pacientes valorados se incluyó a 40 (20 en cada grupo). No se apreciaron diferencias en las características basales, en la recuperación clínica ni en la gasometría al alta entre ambos grupos. Al mes de seguimiento no hubo diferencias en la mortalidad ni en el número de read-misiones. La estancia media de los pacientes con HD fue de 9,2 días (4 días en el hospital y 5 días en su domicilio), frente a los 12,2 días que permanecieron los pacientes en el hospital.

Conclusiones

Nuestros resultados demuestran que un programa de HD controlado desde el hospital, con participación de neumólogos y personal de enfermería, en enfermos ingresados con exacerbación de la EPOC que cumplen unos requisitos de estabilidad clínica y gasométrica, permite la recuperación del paciente sin un aumento en la tasa de reingresos, recaídas o fracasos terapéuticos.

Palabras clave:
Enfermedad pulmonar obstructiva crónica agudizada
EPOC
Hospitalización domiciliaria. Alta temprana
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Copyright © 2005. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
Archivos de Bronconeumología
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