Hospital at Home for Older Patients With Underlying Comorbidity
Authors: Karen Titchener
Journal: Annals of Internal Medicine (2021)

EditorialsJuly 2021Hospital at Home for Older Patients With Underlying ComorbidityKaren Titchener, MS, APRN, RNKaren Titchener, MS, APRN, RNHuntsman Cancer Institute, University of Utah Salt Lake City, UtahSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M21-1373 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Hospital at home (HAH), a model of acute hospital-level care at home, is beginning to be adopted as evidence of the model's efficiency and safety accumulate (1–3). In their article, Shepperd and colleagues (4) contribute to this growing body of research with the report of their trial of HAH. This multisite trial done in the United Kingdom evaluates the outcomes of HAH combined with comprehensive geriatric assessment (CGA) for older patients experiencing an acute event requiring hospital-level care. Participants were randomly assigned to either HAH with CGA or traditional hospitalization with CGA when available. Comprehensive geriatric assessment evaluates medical, psychosocial, ...References1. Leff B, Burton L, Mader SL, et al. Hospital at home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients. Ann Intern Med. 2005;143:798-808. [PMID: 16330791]. doi:10.7326/0003-4819-143-11-200512060-00008 LinkGoogle Scholar2. Chetty M, MacKenzie M, Douglas G, et al. Immediate and early discharge for patients with exacerbations of chronic obstructive pulmonary disease: is there a role in “real life”. Int J Chron Obstruct Pulmon Dis. 2006;1:401-7. [PMID: 18044096] MedlineGoogle Scholar3. Shepperd S, Doll H, Angus RM, et al. Admission avoidance hospital at home. Cochrane Database Syst Rev. 2008:CD007491. [PMID: 18843751] doi:10.1002/14651858.CD007491 CrossrefMedlineGoogle Scholar4. Shepperd S, Butler C, Cradduck-Bamford A, et al. 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Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M21-1373.Corresponding Author: Karen Titchener, MS, APRN, RN, Huntsman Cancer Institute, University of Utah, 2000 Circle of Hope, Salt Lake City, UT 84117; e-mail, Karen.[email protected]utah.edu.This article was published at Annals.org on 20 April 2021. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIs Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons? Sasha Shepperd , Chris Butler , Andrea Cradduck-Bamford , Graham Ellis , Alastair Gray , Anthony Hemsley , Pradeep Khanna , Peter Langhorne , Sam Mort , Scott Ramsay , Rebekah Schiff , David J. Stott , Angela Wilkinson , Ly-Mee Yu , and John Young Metrics July 2021Volume 174, Issue 7Page: 1008-1009KeywordsCOVID-19DeliriumDisclosureElderlyFrailtyGeriatricsHospitalizationsMortalityRelative riskSalts ePublished: 20 April 2021 Issue Published: July 2021 Copyright & PermissionsCopyright © 2021 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...