title: Hospital at home for chronic obstructive pulmonary disease: an integrated hospital and community based generic intermediate care service for prevention and early discharge.
abstract: 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.
authors.affiliation: Southend Associated University Hospital, Westcliff on Sea, Essex, UK. adavison@southend.nhs.uk
authors.forename: A G
authors.initials: AG
authors.lastname: Davison
authors.forename: M
authors.initials: M
authors.lastname: Monaghan
authors.forename: D
authors.initials: D
authors.lastname: Brown
authors.forename: C D
authors.initials: CD
authors.lastname: Eraut
authors.forename: A
authors.initials: A
authors.lastname: O'Brien
authors.forename: K
authors.initials: K
authors.lastname: Paul
authors.forename: J
authors.initials: J
authors.lastname: Townsend
authors.forename: C
authors.initials: C
authors.lastname: Elston
authors.forename: L
authors.initials: L
authors.lastname: Ward
authors.forename: S
authors.initials: S
authors.lastname: Steeples
authors.forename: L
authors.initials: L
authors.lastname: Cubitt
mesh_terms: D000368:Aged; D005260:Female; D018575:Home Care Services, Hospital-Based / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D010351:Patient Discharge; D010359:Patient Readmission; D029424:Pulmonary Disease, Chronic Obstructive / Q000517:prevention & control*; D012946:Social Welfare