TITLE

Respiratory day hospital: a novel approach to acute respiratory care

AUTHOR(S)
Schwartzman, Kevin; Duquette, Guylaine; Zaoudé, May; Dion, Marie-Josée; Lagacé, Marie-Annie; Poitras, Jacinthe; Cosio, Manuel G.
PUB. DATE
October 2001
SOURCE
CMAJ: Canadian Medical Association Journal;10/16/2001, Vol. 165 Issue 8, p1067
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract IN 1996 WE ESTABLISHED A DAY HOSPITAL DEDICATED to acute respiratory care, as an alternative to emergency department and inpatient treatment. The unit is staffed by respirologists, family physicians and specialized nurses; patients have access to all standard inpatient treatments and services. Between 1996/97 and 1998/99 the annual number of admissions to the day hospital increased from 658 to 922. By 1998/99 more than 75% of patients were referred for acute treatment, with a mean stay of 2.3 days. The most common diagnoses were asthma and chronic obstructive pulmonary disease, which accounted for 58% and 32% respectively of treatment-related admissions. Treatment most often involved intravenous corticosteroid therapy and inhaled bronchodilator therapy. Between 1996/97 and 1998/9 the proportion of patients requiring transfer to overnight care decreased from 22% to 14%; complications and unscheduled return visits were rare. We believe that a respiratory day hospital provides a useful alternative to emergency department and inpatient care.
ACCESSION #
5388212

 

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