Factors Associated with Return to Conventional Hospitalization During Hospital at Home

Fatores Associados ao Retorno Hospitalar Durante o Internamento em Hospitalização Domiciliária

Resumo

Introduction: Return to conventional hospitalization is defined as “the return of a patient to the conventional ward from the hospital at home (HaH), and is one of the criteria used to
measure the quality of health care provided.

Methods: A two-year retrospective observational study collected sociodemographic and clinical data, as well as indicators related to the clinical management process and the reason for return to the conventional ward. Statistical analyses included a comparison between “patients without return” versus “patients with return” and multiple correspondence analysis.

Results: A total of 562 patients were included. Thirty (5.3%) patients returned to the conventional ward. None of the variables was associated with returning to hospital. The multiple correspondence analysis found a relationship between the “destination” at the end of the hospitalization and
the “age group”.

Conclusion: Comparing return rates is challenging, given the heterogeneity of the services provided. However, in this analysis, the return rate was low and it was not possible to find any variables that are associated with the risk of return to conventional hospitalization.