TY - JOUR T1 - Hospital at Home: another piece of the armoury against COVID-19 JF - Future Healthcare Journal JO - Future Healthc J SP - 90 LP - 95 DO - 10.7861/fhj.2021-0137 VL - 9 IS - 1 AU - Rebekah Schiff AU - Maria Oyston AU - Matthew Quinn AU - Sharmila Walters AU - Paul McEnhill AU - Megan Collins Y1 - 2022/03/01 UR - http://www.rcpjournals.org/content/9/1/90.abstract N2 - Introduction Hospital at Home (@Home) services bring the ward to the patient, providing acute care in the home. The @Home team adapted to support the care of patients with COVID-19 in the community who would otherwise have required hospitalisation.Methods An evidence-based guideline and treatment bundle (dexamethasone, oxygen, intravenous fluids and thromboprophylaxis) for managing severe COVID-19 was developed. Data were retrospectively extracted from notes of patients with COVID-19 admitted between 16 December 2020 to 14 February 2021, and service users contacted for feedback.Results One-hundred and twenty-five adults with COVID-19 were treated by @Home; 42 severe (34%) and 83 non-severe (66%) infections; average length of stay was 7 days (interquartile range 4–8). Eight-hundred and seventy-five hospital-occupied bed days were saved. Service users emphasised the importance of being with loved ones and the value of respecting peoples’ wishes to be at home.Conclusion @Home gave people with COVID-19 a choice of active treatment at home, thereby extending available healthcare capacity beyond the acute hospital setting. ER -