Estudio comparativo entre pacientes EPOC ingresados en hospitalización a domicilio y hospitalización convencional

Aim: To demonstrate the risk derived from Conventional Hospitalization (CH) when it can be replaced by Hospital at Home (HAH) units in the context of Chronic Obstructive Pulmonary Disease exacerbations. Patients and methods: Historical cohort study with retrospective and comparative data analysis in which patients admitted to HAD are selected from 2010 to the present. 30 patients with exacerbation of who met criteria for admission to HAH and entered HAH, compared with 30 patients who met HAH criterion but who entered CH. Results: There were no differences in the baseline characteristics of the two groups. Hospital readmissions and mortality due to exacerbation of COPD and other causes were measured one month after discharge. In the CH group, greater re-admission due to exacerbation of COPD was observed .333 (CI 0.118-0.943), greater global readmission 0.345 (CI 0.155-0.772) and greater overall mortality 0.103 (CI 0.15-0.696). Conclusions: Our study suggests that there is an increased risk of readmission and mortality after one month attributable to HC after an episode of exacerbation of COPD.