Perioperative medicine & outcomes
Effectiveness and Safety of Postoperative Hospital at Home for Surgical Patients: A Cohort Study
Authors' conclusion
The implementation of early home transfer pathways for surgical patients through HaH is feasible and effective, with favorable safety outcomes.
Study context
- Population
- Patients after any of 6 surgeries with a predefined early transfer pathway, clinically and hemodynamically stable, uncomplicated surgery, with a caregiver, tertiary hospital, November 2021 to May 20236 surgery types
- Participants
- 325 patients
- Outcome
- Feasibility, effectiveness and safety of HaH early transfer
Methodological detailssingle-centre, tertiary hospital, Protocols developed per pathway between surgical services and Hospital at Home (HaH); discharge per protocol; urgent escalation pathway established
- Single-centre
- Tertiary hospital
- Protocols developed per pathway between surgical services and HaH; discharge per protocol; urgent escalation pathway established
Main finding
As reported in the abstract
- Escalation of care during HaH
- 7.3%
- 30-day readmissions
- 7%
- Overall mortality
- 0
- Total mean LOS (IQR 2-14)
- 8 days
- Transferred home earlier than usual pathway (IQR 1-6)
- 3 days
- Bed-days saved
- 1551
Observational data: associations, not effects.
Safety
- Escalation of care during HaH
- 7.3%
- 30-day readmissions
- 7%
- Overall mortality
- 0
- Most adverse events managed at home
Original publication
Effectiveness and Safety of Postoperative Hospital at Home for Surgical Patients: A Cohort Study. Ann Surg. Published 20 December 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →