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The treatment of nursing home-acquired pneumonia using a medically intensive Hospital in the Home service

The treatment of nursing home-acquired pneumonia using a medically intensive Hospital in the Home service - Featured Image

Nursing home-acquired pneumonia (NHAP) is a common cause of admissions to hospital of people living in residential aged care facilities (RACFs); most studies have found that it accounts for the majority of non-trauma-related acute hospital admissions in this population.19 Dementia, immobility, swallowing problems, diabetes and renal impairment are typical comorbidities;911 disease severity on presentation is therefore typically greater than for community-acquired pneumonia, and in-hospital and 30-day mortality rates are high, ranging from 10% to 40%.4,915 NHAP requires significant inpatient resources, as the hospital length of stay for these admissions is higher than for community-acquired pneumonia, with published mean stays of between 7.0 and 18.7 days.915 Morbidity is also high in this group of patients, who are exposed to increased rates of unintended harm from complications such as falls and pressure wounds.917

Nevertheless, most NHAP…

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