Introduction:

Hospital at Home Units (HAH) attend Patients than are hospitalized in their homes to receive intravenous treatments or complex wounds healing than cannot be done for another assistant level than hospital.

Objectives:

Demonstrate that wounds and ulcers have been treated in Hospital at Home services of Hospital Dos de Mayo(HDM) in Barcelona and record what type of injuries have been treated last 10 years.

Method:

Retrospective study and analysis of all the injuries taken by Home Hospitalization Unit of HDM in Barcelona during the period 2011-2020; variables collected: number of patients, average and total stays and types of wounds according to the following classification: pressure ulcers, vascular ulcers, diabetic foot, surgical wound complications, post-surgical intervention injuries without complications and traumatic injuries with or without cellulite; patients with intravenous treatment and destination at discharge

Results:

The 12% of patients in HAH 1111(9327) were entered with a diagnosis related injuries or complications thereof, 14 average stay (1-79). They add up to a total of 16.254 stays. Classifications of wounds: 56 amputations with complication or dehiscence, 95 traumatic wounds and/or bruises with cellulitis, 447 complications of surgical injuries from trauma or general surgery, 54 diabetic foot wounds without surgical intervention, 20 post operative wounds without complications in the wound, 252 vascular ulcers and 187 pressure ulcers. The 8% don’t take intravenous treatment and only 2% required unexpected admission due to complications.

Conclusions:

Ulcers and complex wounds with criteria for hospital admission are a frequent reason for care in an HAD, with good results at discharge.

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