A5007811923- Frailty in Older Adults
- Geriatric Care and Nursing Homes
- COVID-19 and Mental Health
- Respiratory Support and Mechanisms
- COVID-19 and healthcare impacts
- Family and Patient Care in Intensive Care Units
- COVID-19 Clinical Research Studies
- Chronic Disease Management Strategies
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Global Health Care Issues
- Respiratory viral infections research
- Dental Research and COVID-19
- Health Systems, Economic Evaluations, Quality of Life
- Long-Term Effects of COVID-19
- Heart Failure Treatment and Management
- Interprofessional Education and Collaboration
- Salivary Gland Disorders and Functions
- Cardiac, Anesthesia and Surgical Outcomes
- Language Acquisition and Education
- Oral microbiology and periodontitis research
- COVID-19 diagnosis using AI
- Health Education and Validation
- Emergency and Acute Care Studies
- Global Healthcare and Medical Tourism
- Nutrition and Health in Aging
Hospital Clínic de Barcelona
2013-2024
Universitat de Barcelona
2018-2020
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer
2020
Home Hospitalization has proven efficacy, but its effectiveness and potential as an Integrated Care Service in a real world setting deserves to be explored.
Alternatives to conventional hospitalization are needed increase health systems resilience in the face of COVID-19 pandemic. Herein, we describe characteristics and outcomes 63 patients admitted a single HaH during peak Barcelona. Our results suggest that seems be safe efficacious alternative for accurately selected with COVID-19.
Abstract Background Many advantages of hospital at home (HaH), as a modality acute care, have been highlighted, but controversies exist regarding the cost-benefit trade-offs. The objective is to assess health outcomes and analytical costs avoidance (HaH-HA) in consolidated service with over ten years delivery HaH Barcelona (Spain). Methods A retrospective cost-consequence analysis all first episodes HaH-HA, directly admitted from emergency room (ER) 2017–2018, was carried out system...
Background Home hospitalization is widely accepted as a cost-effective alternative to conventional for selected patients. A recent analysis of the home and early discharge (HH/ED) program at Hospital Clínic de Barcelona over 10-year period demonstrated high levels acceptance by patients professionals, well health value-based generation provider health-system levels. However, risk assessment was identified an unmet need with potential enhance clinical decision making. Objective The objective...
Applicability of comprehensive assessment integrated care services in real world settings is an unmet need. To this end, a Triple Aim evaluation Hospital at Home (HaH), as use case, was done. As ancillary aim, we explored the approach for monitoring impact adoption health system level Catalonia (Spain).Prospective cohort study over one year period, 2017-2018, comparing hospital avoidance (HaH-HA) with conventional hospitalization (UC) using propensity score matching. Participants were after...
During the coronavirus disease 2019 (COVID-19) outbreaks, health care workers (HCWs) are at a high risk of infection. Strategies to reduce in-hospital transmission between HCWs and safely manage infected lacking. Our aim was describe an active strategy for management COVID-19 in severe acute respiratory syndrome 2 (SARS-CoV-2)-infected investigate its outcomes.A prospective cohort study SARS-CoV-2-infected tertiary teaching hospital Barcelona, Spain, performed. An weekly polymerase chain...
Access and appropriateness of therapeutics for COVID-19 vary because access or regulatory barriers, the severity disease, some therapies, stage pandemic circulating variants. Remdesivir has shown benefits in clinical recovery is treatment choice selected patients, both hospitalized nonhospitalized, main international guidelines. The use remdesivir alternatives to conventional hospitalization such as hospital at home (HaH) units remains incompletely explored. In this study, we aim describe...
Abstract The objective of this study was to assess the performance direct real time RT-PCR detection SARS-CoV-2 in heated saliva samples, avoiding RNA isolation step. Oropharyngeal and nasopharyngeal swabs together with samples were obtained from 51 patients clinically diagnosed as potentially having COVID-19. Two different methods compared: 1. extracted 500 μl sample using a MagNA Pure Compact Instrument an elution volume 50μl 2. 700µL heat-inactivated at 96°C for 15 minutes, directly...
ABSTRACT Background Many advantages of hospital at home (HaH), as a modality acute care, have been highlighted, but controversies exist regarding the cost-benefit trade-offs. Objective To assess health outcomes and analytical costs avoidance (HaH-HA) in consolidated service with over ten years delivery HaH Barcelona (Spain). Methods A retrospective cost-consequence analysis all first episodes HaH-HA, directly admitted from emergency room (ER) 2017–2018, was carried out. HaH-HA compared...
Abstract Background Many advantages of hospital at home (HaH), as a modality acute care, have been highlighted, but controversies exist regarding the cost-benefit trade-offs. The objective is to assess health outcomes and analytical costs avoidance (HaH-HA) in consolidated service with over ten years delivery HaH Barcelona (Spain). Methods A retrospective cost-consequence analysis all first episodes HaH-HA, directly admitted from emergency room (ER) 2017–2018, was carried out. HaH-HA...
COPD exacerbations worsen quality of life and increase cost. There is evidence the impact non-pharmacological treatment in prevention exacerbations. Therapeutic Education Programs (TEP) a key component Integrated Care Models (ICM). To evaluate effectiveness TEP preventing after discharge. RCT (1:1), 6-m follow-up. Two hospitals: a) exclusively b) as part ICM. Recruitment: 12 m. Assessment using 5 domains (WHO). At 6 m we evaluated hospital admissions, emergency room visits mortality....
Objective: To determine the feasibility and effectiveness of a Hospital at Home (HaH) enabled early transfer pathways for surgical patients. Background: HaH serves as safe alternative to traditional hospitalization by providing acute care patients in their homes through comprehensive range hospital-level interventions. our knowledge, no studies have been published date reporting large cohort home transferred after surgery unit. Methods: Cohort study enrolling every patient admitted unit...
Background: During COVID-19 outbreak healthcare professionals were at high risk of infection, due to increased assistance pressure, shortage personal protection equipment and screening tests. Strategies reduce in-hospital transmission between HCPs safely manage infected are lacking. Methods: Prospective cohort SARS-CoV-2 a tertiary teaching hospital in Barcelona, Spain. An active strategy weekly PCR for on was established by the Occupational Health department. Every positive HCP admitted...
<sec> <title>BACKGROUND</title> Home hospitalization is widely accepted as a cost-effective alternative to conventional for selected patients. A recent analysis of the home and early discharge (HH/ED) program at Hospital Clínic de Barcelona over 10-year period demonstrated high levels acceptance by patients professionals, well health value-based generation provider health-system levels. However, risk assessment was identified an unmet need with potential enhance clinical decision making....
Background: COVID-19 entails large overloads of hospitals' capacity. Alternatives to conventional hospitalization are key optimize health systems resilience during outbreaks the pandemic.Methods: From March 25th May 2020 Hospital at Home Unit (HaH) Clinic Barcelona adapted a 500-bed hotel for treating patients with non-critical COVID-19.Findings: 516 were admitted study period. Median age was 57 . 5 years (IQR 45-70), 304 (59%) referred from hospital wards and 196 (38%) emergency room....