Acceptability of early discharge, hospital at home schemes

Stroke Unit at Home: A Prospective Observational Implementation Study for Early Supported Discharge from the Hospital

It has been well established that the stroke patient’s needs are best met in an organized stroke unit [3].Stroke unit care is effective in reducing death and disability, as well as improvingpost-stroke outcomes [3]. Furthermore, an alternative service has been reported where stroke patients in hospitals are offered early supported discharge (ESD) with rehabilitation at home [4,5]. The ESD is co...

Review: hospital-at-home care for early discharge or admission avoidance does not improve health outcomes.

Early discharge of hip fracture patients from hospital: transfer of costs from hospital to nursing home.

Hip fracture patients occupy more and more hospital beds. One of the strategies for coping with this problem is early discharge from the hospital to institutions with rehabilitation facilities. We studied whether early discharge affects outcome and costs. 208 elderly patients with a hip fracture were followed up to 4 months after the fracture. First, a group of 102 patients stayed in our hospit...

Home at last? Early discharge for acute pulmonary embolism.

A ntithrombotic treatment for acute deep vein thrombosis (DVT) or pulmonary embolism (PE) should consist of a therapeutic dose of low molecular weight heparin (LMWH) for o5 days, followed by a vitamin K antagonist for o3 months. LMWH has simplified the initial management of DVT because it is at least as effective and safe as unfractionated heparin and can be administered in fixed subcutaneous d...

Higher neonatal morbidity after routine early hospital discharge: are we sending newborns home too early?

BACKGROUND A growing body of evidence suggests that the trend toward earlier discharge may affect newborn morbidity. The authors assessed how hospital readmission rates were affected by a clinical guideline aimed at discharging newborns from hospital 24 hours after birth. METHOD A retrospective before-after cohort study was conducted involving 7009 infants born by uncomplicated vaginal delive...