Article
Multidisciplinary Sciences
Tasce Bongiovanni, Craig Parzynski, Isuru Ranasinghe, Michael A. Steinman, Joseph S. Ross
Summary: The study aimed to assess the rate of unplanned hospital visits among patients undergoing ambulatory surgery. The results showed that the risk-adjusted 30-day rate of unplanned hospital visits after same-day surgery was 4.8%, with emergency department visits at 3.1% and hospital admissions at 1.7%. Factors such as age, sex, number of comorbidities, and type of procedure were associated with increased risk of unplanned hospital visits.
Article
Surgery
Lucile Picard, Baptiste Duceau, Amelie Cambriel, Thibault Voron, Sarah Makoudi, Amy S. Tsai, Lassaad Yazid, Anne Soulier, Charles Paugam, Thomas Lescot, Francis Bonnet, Franck Verdonk
Summary: This study investigated the relationship between anaesthetic factors and discharge time in ambulatory cholecystectomy. The results showed that the dose-weight of ketamine and sufentanil, as well as the use of non-steroidal anti-inflammatory drugs, were associated with prolonged discharge time.
INTERNATIONAL JOURNAL OF SURGERY
(2022)
Article
Oncology
Edoardo Bottoni, Giuseppe Mangiameli, Alberto Testori, Federico Piccioni, Veronica Maria Giudici, Emanuele Voulaz, Nadia Ruggieri, Francesca Dalla Corte, Alessandro Crepaldi, Giulia Goretti, Elena Vanni, Martina Pisarra, Umberto Cariboni, Marco Alloisio, Maurizio Cecconi
Summary: This study presents a pilot study for a telehealth home monitoring protocol after robotic lobectomy for lung cancer, which allows for safe discharge on postoperative day 2 in selected patients. The preliminary results show potential benefits in terms of resource optimization and economic savings.
Article
Anesthesiology
Haobo Ma, Luca J. Wachtendorf, Peter Santer, Maximilian S. Schaefer, Sabine Friedrich, Sarah Nabel, Satya Krishna Ramachandran, Changyu Shen, Eswar Sundar, Matthias Eikermann
Summary: The intraoperative use of dexmedetomidine in ambulatory surgery is associated with prolonged PACU length of stay, which is dose-dependent and influenced by surgical duration, type of anesthesia, and timing of administration. Clinicians should carefully titrate dexmedetomidine, especially for monitored anesthesia care during shorter procedures.
JOURNAL OF CLINICAL ANESTHESIA
(2021)
Article
Medicine, General & Internal
Beth Jones, Pam James, Ganga Vijayasiri, Yiting Li, Dave Bozaan, Nkiru Okammor, Karly Hendee, Grace Jenq
Summary: This study aimed to understand patients' experiences during the care transition process from hospital or skilled nursing facility to home and identify factors associated with follow-up appointment completion. The study found gaps and racial disparities in care transition experiences, which had implications for patient experiences and outcomes.
Article
Geriatrics & Gerontology
Sandra M. Shi, Brianne Olivieri-Mui, Gahee Oh, Ellen McCarthy, Jonathan F. Bean, Dae H. Kim
Summary: This study examines the association between a claims-based frailty index and time at home in Medicare beneficiaries. The findings suggest a positive correlation between frailty and short time at home, indicating the need for additional resources and interventions to prevent health decline and poor quality of life.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2023)
Review
Medicine, General & Internal
Sasha Shepperd, Daniela C. Goncalves-Bradley, Sharon E. Straus, Bee Wee
Summary: The evidence suggests that home-based end-of-life care programs can increase the likelihood of patients dying at home. However, the impact of home-based end-of-life care on patient outcomes, symptom control, caregiver satisfaction, and healthcare costs remains uncertain.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Public, Environmental & Occupational Health
Rachel S. C. Friedman, Diane M. Carpenter, Julia M. Shaver, Shannon C. McDermott, Jackson Voelkel
Summary: This study found that patients who were familiar with telemedicine services before a disaster had lower rates of emergency and hospital utilization for certain ambulatory care sensitive conditions in the year following the disaster. Familiarity with telemedicine may help reduce the use of emergency and hospital services following disasters.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2022)
Article
Orthopedics
Chelsea R. Brown, Sennay Ghenbot, Robert A. Magnussen, Sarah Harangody, David C. Flanigan, Timothy L. Miller
Summary: The study aimed to determine the frequency, reasons, and factors influencing postoperative hospitalizations, clinic visits, and emergency department (ED) encounters within 24 hours of ambulatory surgeries. Data from a university sports medicine ambulatory surgery center during its first 2 years of operation showed that only 0.75% of patients sought additional care within 24 hours, mostly due to medical complications or postoperative pain. Patients who sought care tended to be older, with more medical comorbidities, and had undergone upper extremity procedures more frequently.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Medicine, General & Internal
David M. Levine, Mary Paz, Kimberly Burke, Ryan Beaumont, Robert B. Boxer, Charles A. Morris, Kathryn A. Britton, E. John Orav, Jeffrey L. Schnipper
Summary: This study compared remote physician care and in-home physician care during home hospital care and found that remote physician visits were noninferior to in-home physician visits in terms of adverse events and patient experience.
Article
Medicine, General & Internal
Eliza W. Beal, Joshua-Paolo C. Reyes, Zachary Denham, Mahmoud Abdel-Rasoul, Eyad Rasoul, Michelle L. Humeidan
Summary: The survey results indicate that most participants have a positive perception of the value of ERAS/PSH protocols and emphasize the importance of ongoing learning and incorporating these into provider education. Preferred learning methods include multimodal pain management and direct participation in patient care.
Article
Medicine, General & Internal
Elena Ramirez-Maldonado, Marta Rodrigo-Rodrigo, Sandra Lopez Gordo, Ariadna Sanchez, Daniel Coronado Llanos, Raquel Sanchez, Joao Vaz, Constantino Fondevila, Rosa Jorba-Martin
Summary: This is a study comparing different management strategies for mild acute pancreatitis (MAP). It is a randomised, controlled, three-arm multicentre trial. The study aims to determine whether outpatient or home care is similar to hospital admission in terms of treatment failure rate for patients with MAP. Secondary endpoints include pain relapse, diet intolerance, hospital readmission, hospital length of stay, need for intensive care unit admission, organ failure, complications, costs and patient satisfaction. The study will provide evidence for the effectiveness of outpatient/home care management for MAP.
Article
Health Care Sciences & Services
Anna M. Kucharska-Newton, Jacquie R. Halladay, Matthew A. Psioda, Sara B. Jones, Anna M. Johnson, Sylvia W. Coleman, Doyle M. Cummings, Janet K. Freburger, Laurie C. Daras, Wayne D. Rosamond, Pamela W. Duncan, Cheryl D. Bushnell
Summary: This study investigated the transitional care management of acute stroke and transient ischemic attack patients within 90 days and 1 year after discharge from the COMPASS Study in North Carolina. The results showed that the COMPASS intervention significantly increased the use of ambulatory care services by discharged stroke patients.
Article
Geriatrics & Gerontology
Ksenia Gorbenko, Abigail Baim-Lance, Emily Franzosa, Heather Wurtz, Gabrielle Schiller, Sybil Masse, Katherine A. Ornstein, Alex Federman, David M. Levine, Linda DeCherrie, Bruce Leff, Albert Siu
Summary: This study aims to describe the national-level implementation processes and strategies of the Acute Hospital Care at Home (AHCaH) waiver program and identify the challenges and facilitators of launching or adapting home hospital care to meet waiver requirements. The study found that the implementation of the AHCaH waiver is a complex process that requires coordination with internal and external partners, and considerations of potential barriers and strategies.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Public, Environmental & Occupational Health
Rakchya Amatya, Kritika Mishra, Kshitij Karki, Isha Puri, Archita Gautam, Sweta Thapa, Urmila Katwal, Siddhesh Veer, John Zervos, Linda Kaljee, Tyler Prentiss, Kate Zenlea, Gina Maki, Pawan Jung Rayamajhi, Narendra K. Khanal, Pomawati Thapa, Madan Kumar Upadhyaya, Deepak Bajracharya
Summary: The Himalaya Home Care program in Nepal provided monitoring and counseling services to home isolated COVID-19 patients, resulting in high patient satisfaction and positive outcomes in terms of preventing hospitalization and limiting disease transmission.
FRONTIERS IN PUBLIC HEALTH
(2022)
