<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2530-5115</journal-id>
<journal-title><![CDATA[Hospital a Domicilio]]></journal-title>
<abbrev-journal-title><![CDATA[Hosp. domic.]]></abbrev-journal-title>
<issn>2530-5115</issn>
<publisher>
<publisher-name><![CDATA[Centro Internacional Virtual de Investigación en Nutrición (CIVIN)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2530-51152021000100002</article-id>
<article-id pub-id-type="doi">10.22585/hospdomic.v5i1.111</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Unidad de Hospitalización a Domicilio del paciente quirúrgico durante la pandemia de la COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Home Hospitalization Unit of Surgical Patients During the COVID-19 Pandemic]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Subirana]]></surname>
<given-names><![CDATA[Helena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borrell]]></surname>
<given-names><![CDATA[Núria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domènech]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fraga]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grau]]></surname>
<given-names><![CDATA[Isaura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castellví]]></surname>
<given-names><![CDATA[Jordi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Consorci Sanitari Integral Hospital Sant Joan Despí Moisès Broggi Servei de Cirurgia General i De l'Aparell Digestiu]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Consorci Sanitari Integral Hospital Sant Joan Despí Moisès Broggi Unitat d'Hospitalització a domicili]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Consorci Sanitari Integral Hospital Sant Joan Despí Moisès Broggi Servei d'Urgències]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>5</volume>
<numero>1</numero>
<fpage>9</fpage>
<lpage>16</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2530-51152021000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2530-51152021000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2530-51152021000100002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  la pandemia de la COVID-19 ha puesto a prueba sistemas sanitarios a nivel mundial. Desde el servicio de Cirugía General y ante la disminución de camas de hospitalización surgió la necesidad de planificar y organizar una estrategia para la hospitalización y cuidado de pacientes quirúrgicos. La hospitalización a domicilio (HAD) es una modalidad asistencial eficaz en patología médica y quirúrgica donde, por un tiempo limitado, personal sanitario realiza tratamiento y seguimiento de pacientes en su domicilio.  Objetivo:  describir nuestra experiencia de HAD en el paciente quirúrgico durante la pandemia de la COVID-19.  Método:  estudio observacional, descriptivo, prospectivo, unicéntrico. 44 pacientes en HAD del 11 de Marzo al 10 de Mayo de 2020. Se incluyeron pacientes sometidos a cirugía urgente, programada y pacientes quirúrgicos con tratamiento conservador o intervencionismo. Se evaluaron variables epidemiológicas, motivo de ingreso, tratamiento, estancia media, tasa de reingresos, complicaciones y mortalidad.  Resultados:  edad media 64 años ± 16,7 (23-89). 52% hombres y 49% mujeres. 23 pacientes con cirugía urgente o programada, 12 tratamiento conservador, 2 drenaje torácico, 5 drenaje percutáneo y 2 terapia de presión negativa para cura de herida quirúrgica. Estancia media 8,6 días ± 3,6 (1-19). Registradas 5 complicaciones: suboclusión, rectorragia, enfisema subcutáneo, absceso pulmonar e infección por COVID-19. 2 pacientes reingresaron.  Conclusiones:  La HAD es un modelo seguro y eficaz para disminuir la estancia hospitalaria en pacientes quirúrgicos seleccionados. La combinación de ingreso de corta estancia e ingreso en régimen de HAD podría ser una buena opción en el postoperatorio y recuperación de pacientes quirúrgicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  current COVID-19 pandemic is testing healthcare systems at a global level. From General Surgery Department we decided to provide a practical strategy for surgical patients' hospitalization that allowed to treat them as if they were admitted in hospital. Home Hospitalization is an effective healthcare modality in medical and surgical pathology in which, for a limited time, health practitioners provide active treatment at patient's home. The aim of this study is to describe our experience of home care hospitalization in surgical patients during the covid-19 pandemic.  Method:  Observational, descriptive, prospective, single-center study. 44 patients admitted to surgical home hospitalization unit from March 11 to May 10 2020. Patients with emergency or elective surgery and surgical patients who required conservative medical treatment or interventionism were included. Epidemiological variables, diagnosis, treatment, mean stay, readmissions rate, complications and mortality were evaluated.  Results:  Mean age 64 years ± 16,7 (23-89). 52% men and 49% women. 23 patients underwent emergency or elective surgery, 12 patients conservative medical treatment, 2 thoracic drainage, 5 percutaneous drainage due to intra-abdominal abscesses and 2 patients with negative pressure therapy for surgical wound healing. Mean hospital stay 8,6 days ± 3,6 (1-19). Five complications were registered: subocclusion, colo-rectal bleeding, subcutaneous emphysema, lung abscess and a COVID-19 infection. Readmissions rate: 4,5%.  Conclusions:  Home hospitalization is an effective model to decrease or avoid hospital stay in selected patients. It also appears to be as safe as inpatient hospitalization. Combination of short-stay admission and home admission could be a good therapeutic option in surgical patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Servicios de Atención de Salud a Domicilio]]></kwd>
<kwd lng="es"><![CDATA[Hospitalización a domicilio]]></kwd>
<kwd lng="es"><![CDATA[Virus SRAS-COV2]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[Cuidados Posoperatorios]]></kwd>
<kwd lng="es"><![CDATA[Paciente quirúrgico]]></kwd>
<kwd lng="en"><![CDATA[Home Care Services]]></kwd>
<kwd lng="en"><![CDATA[Hospital at home care]]></kwd>
<kwd lng="en"><![CDATA[SARS- COV2 Virus]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Postoperative Care]]></kwd>
<kwd lng="en"><![CDATA[Surgical patient]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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