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Hospital a Domicilio
versión On-line ISSN 2530-5115
Resumen
DIEZ-SANCHEZ, Beatriz; DELGADO-CAPEL, María; ECHEVERRIA-BERMUDEZ, Patricia y BONET-PAPELL, Gloria. Restructuring the Operation of the Home Care Unit of the Germans Trias i Pujol University Hospital for the management of patients COVID and no COVID Admitted during the COVID-19 Pandemic in Spain. Hosp. domic. [online]. 2021, vol.5, n.1, pp.29-42. Epub 08-Mar-2021. ISSN 2530-5115. https://dx.doi.org/10.22585/hospdomic.v5i1.123.
Introduction:
The COVID-19 pandemic made that the Home Care Unit of the Germans Trias i Pujol University Hospital implement strategies for the management of patients admitted with or without COVID-19, optimizing health care resources.
Method:
A descriptive study of patients with and without COVID-19 was conducted between March 14th and May 31th, 2020. An increase in the number of virtual beds, as well as extension of working hour and incorporation of personnel health (doctor/nurses) was necessary, activating 2 telemedicine platforms for monitoring of patients (COVIDApp for COVID patients and Revita for non-COVID patients).
Results:
A total of 781 patients referred from the hospitalization, emergency and primary care were included, 584 (74.8%) admitted with a diagnosis of COVID-19 (by PCR) and 197 (25.2%) patients admitted by other pathologies (non-COVID) from the Nord Metropolitan area of Barcelona and Maresme. 24.6% of non-COVID patients and 2.5% of COVID patients were complex chronic patients. The percentage of hospital readmission was higher in non-COVID patients (11.6%) than in COVID patients (4.28%). The percentage of discharges from the UHAD increased to 35.34%. Both platforms allowed for close monitoring of patients.
Conclusions:
The COVID-19 pandemic has highlighted the need to optimize and restructure the resources of the health system, with the Telemedicine platforms COVIDApp and Revita as innovative tools.
Palabras clave : Home Care Services, Hospital-Based; Home Care Services; Telemedicine; Coronavirus Infections; COVIDApp; Revita.