Home management of hematological patients requiring hospital admission

Gianluca Isaia, Vittoria Tibaldi, Marco Astengo, Marco Ladetto, Renata Marinello, Mario Bo, Giuliana Michelis, Fiorella Ruatta, Nicoletta Aimonino Ricauda

Research output: Contribution to journalArticle

Abstract

The hospital-at-home service (HHS) could be considered as an alternative to the traditional ward for elderly patients. We aimed at evaluating the home management of elderly people requiring transfusions. The ever-increasing demand on acute hospital services requires alternative methods of delivering all aspects of health care. HHS demonstrated to be as efficacious as a traditional ward for elderly and functionally compromised patients. The method was a retrospective descriptive study enrolling patients needing an hospital admission from 1st January 2007 to 31st December 2007 and reporting an hematological discharge's diagnosis as primary or secondary diagnosis. A total of 54 patients were evaluated in this study. Of them, 34 (62.9%) needed a hemocomponent transfusion for a total volume of 112 blood units and 49 platelet pools. Patients requiring at least one blood or platelet transfusion were more functionally compromised and presented a higher level of acute physiology and chronic health evaluation, compared to the non-transfused ones. The conclusion was that hematological subjects mainly the frail ones and functionally highly compromised with acute illnesses could be treated at home as an alternative of the traditional medical ward. This could be the starting point for future studies that will be able to increase the power of hospital-at-home service for this type of patients.

Original languageEnglish
Pages (from-to)309-311
Number of pages3
JournalArchives of Gerontology and Geriatrics
Volume51
Issue number3
DOIs
Publication statusPublished - Nov 2010

Fingerprint

management
physiology
Platelet Transfusion
APACHE
Blood Volume
illness
health care
Blood Platelets
Retrospective Studies
demand
Delivery of Health Care
health
evaluation

Keywords

  • Hospital-at-home
  • Hospital-at-home Service
  • Transfusion of elderly hematological patients

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology
  • Health(social science)
  • Gerontology

Cite this

Isaia, G., Tibaldi, V., Astengo, M., Ladetto, M., Marinello, R., Bo, M., ... Ricauda, N. A. (2010). Home management of hematological patients requiring hospital admission. Archives of Gerontology and Geriatrics, 51(3), 309-311. https://doi.org/10.1016/j.archger.2010.01.006

Home management of hematological patients requiring hospital admission. / Isaia, Gianluca; Tibaldi, Vittoria; Astengo, Marco; Ladetto, Marco; Marinello, Renata; Bo, Mario; Michelis, Giuliana; Ruatta, Fiorella; Ricauda, Nicoletta Aimonino.

In: Archives of Gerontology and Geriatrics, Vol. 51, No. 3, 11.2010, p. 309-311.

Research output: Contribution to journalArticle

Isaia, G, Tibaldi, V, Astengo, M, Ladetto, M, Marinello, R, Bo, M, Michelis, G, Ruatta, F & Ricauda, NA 2010, 'Home management of hematological patients requiring hospital admission', Archives of Gerontology and Geriatrics, vol. 51, no. 3, pp. 309-311. https://doi.org/10.1016/j.archger.2010.01.006
Isaia, Gianluca ; Tibaldi, Vittoria ; Astengo, Marco ; Ladetto, Marco ; Marinello, Renata ; Bo, Mario ; Michelis, Giuliana ; Ruatta, Fiorella ; Ricauda, Nicoletta Aimonino. / Home management of hematological patients requiring hospital admission. In: Archives of Gerontology and Geriatrics. 2010 ; Vol. 51, No. 3. pp. 309-311.
@article{11bdeff51ecf4cf29133fc37fb65c5c9,
title = "Home management of hematological patients requiring hospital admission",
abstract = "The hospital-at-home service (HHS) could be considered as an alternative to the traditional ward for elderly patients. We aimed at evaluating the home management of elderly people requiring transfusions. The ever-increasing demand on acute hospital services requires alternative methods of delivering all aspects of health care. HHS demonstrated to be as efficacious as a traditional ward for elderly and functionally compromised patients. The method was a retrospective descriptive study enrolling patients needing an hospital admission from 1st January 2007 to 31st December 2007 and reporting an hematological discharge's diagnosis as primary or secondary diagnosis. A total of 54 patients were evaluated in this study. Of them, 34 (62.9{\%}) needed a hemocomponent transfusion for a total volume of 112 blood units and 49 platelet pools. Patients requiring at least one blood or platelet transfusion were more functionally compromised and presented a higher level of acute physiology and chronic health evaluation, compared to the non-transfused ones. The conclusion was that hematological subjects mainly the frail ones and functionally highly compromised with acute illnesses could be treated at home as an alternative of the traditional medical ward. This could be the starting point for future studies that will be able to increase the power of hospital-at-home service for this type of patients.",
keywords = "Hospital-at-home, Hospital-at-home Service, Transfusion of elderly hematological patients",
author = "Gianluca Isaia and Vittoria Tibaldi and Marco Astengo and Marco Ladetto and Renata Marinello and Mario Bo and Giuliana Michelis and Fiorella Ruatta and Ricauda, {Nicoletta Aimonino}",
year = "2010",
month = "11",
doi = "10.1016/j.archger.2010.01.006",
language = "English",
volume = "51",
pages = "309--311",
journal = "Archives of Gerontology and Geriatrics",
issn = "0167-4943",
publisher = "Elsevier Ireland Ltd",
number = "3",

}

TY - JOUR

T1 - Home management of hematological patients requiring hospital admission

AU - Isaia, Gianluca

AU - Tibaldi, Vittoria

AU - Astengo, Marco

AU - Ladetto, Marco

AU - Marinello, Renata

AU - Bo, Mario

AU - Michelis, Giuliana

AU - Ruatta, Fiorella

AU - Ricauda, Nicoletta Aimonino

PY - 2010/11

Y1 - 2010/11

N2 - The hospital-at-home service (HHS) could be considered as an alternative to the traditional ward for elderly patients. We aimed at evaluating the home management of elderly people requiring transfusions. The ever-increasing demand on acute hospital services requires alternative methods of delivering all aspects of health care. HHS demonstrated to be as efficacious as a traditional ward for elderly and functionally compromised patients. The method was a retrospective descriptive study enrolling patients needing an hospital admission from 1st January 2007 to 31st December 2007 and reporting an hematological discharge's diagnosis as primary or secondary diagnosis. A total of 54 patients were evaluated in this study. Of them, 34 (62.9%) needed a hemocomponent transfusion for a total volume of 112 blood units and 49 platelet pools. Patients requiring at least one blood or platelet transfusion were more functionally compromised and presented a higher level of acute physiology and chronic health evaluation, compared to the non-transfused ones. The conclusion was that hematological subjects mainly the frail ones and functionally highly compromised with acute illnesses could be treated at home as an alternative of the traditional medical ward. This could be the starting point for future studies that will be able to increase the power of hospital-at-home service for this type of patients.

AB - The hospital-at-home service (HHS) could be considered as an alternative to the traditional ward for elderly patients. We aimed at evaluating the home management of elderly people requiring transfusions. The ever-increasing demand on acute hospital services requires alternative methods of delivering all aspects of health care. HHS demonstrated to be as efficacious as a traditional ward for elderly and functionally compromised patients. The method was a retrospective descriptive study enrolling patients needing an hospital admission from 1st January 2007 to 31st December 2007 and reporting an hematological discharge's diagnosis as primary or secondary diagnosis. A total of 54 patients were evaluated in this study. Of them, 34 (62.9%) needed a hemocomponent transfusion for a total volume of 112 blood units and 49 platelet pools. Patients requiring at least one blood or platelet transfusion were more functionally compromised and presented a higher level of acute physiology and chronic health evaluation, compared to the non-transfused ones. The conclusion was that hematological subjects mainly the frail ones and functionally highly compromised with acute illnesses could be treated at home as an alternative of the traditional medical ward. This could be the starting point for future studies that will be able to increase the power of hospital-at-home service for this type of patients.

KW - Hospital-at-home

KW - Hospital-at-home Service

KW - Transfusion of elderly hematological patients

UR - http://www.scopus.com/inward/record.url?scp=77957348906&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77957348906&partnerID=8YFLogxK

U2 - 10.1016/j.archger.2010.01.006

DO - 10.1016/j.archger.2010.01.006

M3 - Article

C2 - 20138376

AN - SCOPUS:77957348906

VL - 51

SP - 309

EP - 311

JO - Archives of Gerontology and Geriatrics

JF - Archives of Gerontology and Geriatrics

SN - 0167-4943

IS - 3

ER -