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 journalArticlepeer-review

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

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

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