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Hospital a Domicilio
versión On-line ISSN 2530-5115
Resumen
SANCHEZ-FABRA, David et al. Management of venous trhomboembolic disease in home hospitalization: which patients do we treat and what is their risk stratification?. Hosp. domic. [online]. 2021, vol.5, n.2, pp.79-87. Epub 13-Sep-2021. ISSN 2530-5115. https://dx.doi.org/10.22585/hospdomic.v5i2.127.
Introduction:
Clincal Practice Guidelines show the best management of Venous Thromboembolic Disease (VTE) based on risk stratification in terms of admission or outpatient treatment. The utility of Home Hospitalization (HH) in this disease is poorly understood.
Methods:
We conducted a descriptive and comparative study of all patients admitted at HH for VTE for two years, matching them with another group of conventional hospitalization (CH) patients. We also analyzed the destination of the patients (HH or CH) based on their risk stratification.
Results:
We obtained a sample of n=76 patients. The hospital length of stay was shorter in the HAD group. There were no statistically significant differences in the rest of the variables. 22.9% of patients with low risk of mortality were admitted at CH or HH.
Conclusion:
Risk stratification or clinical characteristics of patients with VTE were not relevant when it came to the choice of destination under the HH regimen. General criteria for admission to HH (patient preferences, adequate home support, or management other comorbidities) may have prevailed more in order to take that decision.
Palabras clave : Venous thromboembolic disease; Pulmonary Embolism; Deep venous thrombosis; Home Hospitalization; Internal Medicine.