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Hospital at Home: another piece of the armoury against COVID-19

Rebekah Schiff, Maria Oyston, Matthew Quinn, Sharmila Walters, Paul McEnhill and Megan Collins
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DOI: https://doi.org/10.7861/fhj.2021-0137
Future Healthc J March 2022
Rebekah Schiff
AGuy's and St Thomas’ NHS Foundation Trust, London, UK
Roles: consultant in geriatrics and general medicine
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  • For correspondence: rebekah.schiff@gstt.nhs.uk
Maria Oyston
BGuy's and St Thomas’ NHS Foundation Trust, London, UK
Roles: service lead for @Home service
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Matthew Quinn
CGuy's and St Thomas’ NHS Foundation Trust, London, UK
Roles: integrated care fellow
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Sharmila Walters
CGuy's and St Thomas’ NHS Foundation Trust, London, UK
Roles: integrated care fellow
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Paul McEnhill
CGuy's and St Thomas’ NHS Foundation Trust, London, UK
Roles: integrated care fellow
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Megan Collins
CGuy's and St Thomas’ NHS Foundation Trust, London, UK
Roles: integrated care fellow
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    Fig 1.

    Pathways for ongoing care. Reproduced with permission from Anne Goodman on behalf of the GSTT COVID Guideline Development Group. @Home = Hospital at Home; eDL = electronic discharge letter; EOL = end of life; IRT = integrated respiratory team; od = once per day; SpO2 = oxygen saturation; VTE = venous thromboembolism; WHO = World Health Organization.

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    Fig 2.

    Patients treated by Hospital at Home service during the second wave of the pandemic in London between 16 December 2020 and 14 February 2021. @Home = Hospital at Home; EOL = end-of-life.

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    Table 1.

    Patients on severe COVID-19 bundle, total n=33

    Demographics
    Age, years, mean (range)85 (61–95)
    Men, n (%)12 (36)
    Women, n (%)21 (64)
    Nursing home, n (%)14 (42)
    Own home, n (%)19 (58)
    Clinical frailty score, mean (range)7 (3–9)
    Outcome at discharge
    Length of stay for those discharged, days, mean (range)8 (4–25)
    Died, n (%)6 (18)
    Admitted to hospital from @Home, n (%)3 (9)
    Discharged to EOL community care with palliative care team, n (%)10 (30)
    Recovered, n (%)14 (42)
    Outcome at 1 month
    Alive, n (%)14 (42)
    Died, n (%)19 (58)
    • @Home = Hospital at Home; EOL = end-of-life.

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Hospital at Home: another piece of the armoury against COVID-19
Rebekah Schiff, Maria Oyston, Matthew Quinn, Sharmila Walters, Paul McEnhill, Megan Collins
Future Healthc J Mar 2022, 9 (1) 90-95; DOI: 10.7861/fhj.2021-0137

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Hospital at Home: another piece of the armoury against COVID-19
Rebekah Schiff, Maria Oyston, Matthew Quinn, Sharmila Walters, Paul McEnhill, Megan Collins
Future Healthc J Mar 2022, 9 (1) 90-95; DOI: 10.7861/fhj.2021-0137
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