Leff B, Burton L, Guido S, Greenough W B, Steinwachs D, Burton J R
Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J Am Geriatr Soc. 1999 Jun;47(6):697-702. doi: 10.1111/j.1532-5415.1999.tb01592.x.
To evaluate the basic safety and feasibility of hospital care at home (Home Hospital (HH)) for treating acutely ill older persons requiring hospitalization.
Prospective case series
Community-dwelling persons aged 65 and older requiring acute hospital admission for community-acquired pneumonia, chronic heart failure, chronic obstructive airways disease, or cellulitis.
Seventeen subjects were treated in HH. One hundred twenty-two could not be enrolled because they presented for admission at times when HH was not operational. Six patients refused to enroll in HH. Subjects treated in HH had comparable clinical outcomes to those treated in the acute hospital and were highly satisfied with HH. Charges for HH care were 60% of those for the acute hospital care.
In this pilot study, HH was safe, feasible, highly satisfactory, and cost-effective for certain acutely ill older persons who required acute hospitalization.
评估居家医院护理（HH）对需要住院治疗的急性病老年人的基本安全性和可行性。
前瞻性病例系列
年龄在65岁及以上、因社区获得性肺炎、慢性心力衰竭、慢性阻塞性气道疾病或蜂窝织炎需要急性住院治疗的社区居住者。
17名受试者接受了HH护理。122人因在HH未运营时前来就诊而未能入选。6名患者拒绝加入HH。接受HH护理的受试者与在急性医院接受治疗的受试者临床结果相当，并且对HH非常满意。HH护理费用为急性医院护理费用的60%。
在这项试点研究中，HH对于某些需要急性住院治疗的急性病老年人来说是安全、可行、高度令人满意且具有成本效益的。
