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Chronic Respiratory Disease, Vol. 3, No. 4,
181-185 (2006)
DOI: 10.1177/1479972306070074
Hospital at home for chronic obstructive pulmonary disease: an integrated hospital and community based generic intermediate care service for prevention and early discharge
A G Davison
M Monaghan
Southend Associated University Hospital, Westcliff on Sea, Essex, UK
D Brown
Southend Primary Care Trust, Southend on Sea, Essex, UK
C D Eraut
A O'Brien
Southend Associated University Hospital, Westcliff on Sea, Essex, UK
K Paul
Southend Primary Care Trust, Southend on Sea, Essex, UK
J Townsend
C Elston
L Ward
S Steeples
L Cubitt
Southend Associated University Hospital, Westcliff on Sea, Essex, UK
Recent randomized controlled studies have reported success for hospital at home for prevention and early discharge of chronic obstructive pulmonary disease (COPD) patients using hospital based respiratory nurse specialists. This observational study reports results using an integrated hospital and community based generic intermediate care service. The length of care, readmission within 60 days and death within 60 days in the early discharge (9.37 days, 21.1%, 7%) and the prevention of admission (five to six days, 34.1%, 3.8%) are similar to previous studies. We suggest that this generic community model of service may allow hospital at home services for COPD to be introduced in more areas.
Key Words: chronic obstructive pulmonary disease • hospital at home • generic teams
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