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Assessment of the Impact of Home-Based Hospitalization on Health Outcomes

2024-06Artigo científico Acesso aberto
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dc.contributor.authorCorreia Azevedo, Pedro
dc.contributor.authorRei, Cátia
dc.contributor.authorGrande, Rui
dc.contributor.authorSaraiva, Mariana
dc.contributor.authorGuede-Fernández, Federico
dc.contributor.authorOliosi, Eduarda
dc.contributor.authorLondral, Ana
dc.contributor.institutionLIBPhys-UNL
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblBiblioteca Nacional de Portugal, Centro de Estudos Históricos, CELOM
dc.date.accessioned2024-09-30T22:31:41Z
dc.date.available2024-09-30T22:31:41Z
dc.date.issued2024-06
dc.descriptionFunding Information: We would like to thank the Multidisciplinary Team of CUF\u2019s Home Care Unit. FUNDING SOURCES This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. Publisher Copyright: © Ordem dos Médicos 2024.
dc.description.abstractIntroduction: In Portugal, evidence of clinical outcomes within home-based hospitalization programs remains limited. Despite the adoption of home-based hospitalization services, it is still unclear whether these services represent an effective way to manage patients compared with inpatient hospital care. Therefore, the aim of this study was to evaluate the outcomes of home-based hospitalization compared with conventional hospitalization in a group of patients with a primary diagnosis of infectious, cardiovascular, oncological, or ‘other’ diseases. Methods: An observational retrospective study using anonymized administrative data to investigate the outcomes of home-based hospitalization (n = 209) and conventional hospitalization (n = 192) for 401 Portuguese patients admitted to CUF hospitals (Tejo, Cascais, Sintra, Descobertas, and the Unidade de Hospitalização Domiciliária CUF Lisboa). Data on demographics and clinical outcomes, including Barthel index, Braden scale, Morse scale, mortality, and length of hospital stay, were collected. The statistical analysis included comparison tests and logistic regression. Results: The study found no statistically significant differences between patients’ admission and discharge for the Barthel index, Braden scale, and Morse scale scores, for both conventional and home-based hospitalizations. In addition, no statistically significant differences were found in the length of stay between conventional and home-based hospitalization, although patients diagnosed with infectious diseases had a longer stay than patients with other conditions. Although the mortality rate was higher in home-based hospitalization compared to conventional hospitalization, the mortality risk index (higher in home-based hospitalization) assessed at admission was a more important predictor of death than the type of hospitalization. Conclusion: The study found that there were no significant differences in outcomes between conventional and home-based hospitalization. Home-based hospitalization was found to be a valuable aspect of patient- and family-centered care. However, it is noteworthy that patients with infectious diseases experienced longer hospital stays.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent10
dc.format.extent343214
dc.identifier.doi10.20344/amp.20474
dc.identifier.issn0870-399X
dc.identifier.otherPURE: 99835215
dc.identifier.otherPURE UUID: e9fcbfc7-0508-4467-a75b-5a924cc433d5
dc.identifier.otherScopus: 85195533569
dc.identifier.otherPubMed: 38848706
dc.identifier.otherWOS: 001294542500008
dc.identifier.urihttp://hdl.handle.net/10362/172739
dc.identifier.urlhttps://www.scopus.com/pages/publications/85195533569
dc.language.isoeng
dc.peerreviewedyes
dc.subjectHome Care Services, Hospital-Based
dc.subjectHospitalization
dc.subjectPatient Safety
dc.subjectPatient-Centered Care
dc.subjectGeneral Medicine
dc.subjectSDG 3 - Good Health and Well-being
dc.titleAssessment of the Impact of Home-Based Hospitalization on Health Outcomesen
dc.title.subtitleAn Observational Studyen
dc.typejournal article
degois.publication.firstPage445
degois.publication.issue6
degois.publication.lastPage454
degois.publication.titleActa Medica Portuguesa
degois.publication.volume37
dspace.entity.typePublication
rcaap.rightsopenAccess

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