Patient with respiratory compromise controlled by a pediatric home hospitalization unit
e202103039
Keywords:
Oxygen therapy, Homecare, Hospital at home, Neonatal chronic lung diseaseAbstract
Background: The use of paediatric home oxygen therapy is initiated in neonatal chronic lung disease; later it spreads to other patients with chronic hypoxemia. The frequency and need for oxygen therapy is growing; this, together with the family benefits, justify the implementation of a home treatment plan. Our objective with this work was to know and describe the characteristics of the patients admitted to the Pediatric HaD Unit of a tertiary hospital, the average cost per patient of oxygen therapy during 13 years of review, and evaluate the quality of the service.
Methods: Retrospective descriptive study by reviewing records of patients admitted to home care hospital at home of a paediatric tertiary care hospital (n=124) for 13 years (2000-2013), to learn and to describe the characteristics of the unit and these patients, and costs. After that, it was done statistical analysis through t-Student.
Results: 124 patients with chronic hypoxemia patients with mean age of 2.2 years. The most frequent cause was lung diseases, including ECPN as the most important. They accounted 14.2% of hospitalizations in home care hospital at home department, and 60% were achieved clinical stability. The mean cost was 1,991.1€ per patient, which supposes 93% of economical saving in comparison with conventional hospitalization (3,988.91€).
Conclusions: The use of oxygen in HaD improves the quality of life and survival of our patients, reducing the number of readmissions and hospital costs.
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Copyright (c) 2021 Ana Belén Ariza Jiménez, Aurora Madrid Rodríguez, María José Peláez Cantero, Pilar Caro Aguilera, Francisco Javier Pérez Frias, Estela Pérez-Ruiz
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