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Objective: To evaluate the impact of nutritional supplements in patients admitted to the Home Hospitalization Unit with complicated abdominal surgical wounds. Material and methods: We have performed a retrospective study of 67 patients which presented complicated abdominal surgical wounds upon admission to the Home Hospitalization Unit. We have studied the type and amount of the supplement received, the body mass index (BMI), the albumin, and the time and cycles of antibiotic therapy. Results: The median age of the 67 patients was 69.2 ± 5.6. All patients had open abdominal wounds and 53.7% had infection with intravenous antibiotics. All patients received some type of nutritional supplement (62.7% standard, 25.4% immunomodulatory (Atempero®), 11.9% others). After one month of follow-up, the albumin mean value had increased in all patients p = 0.032, although the greatest difference was in patients who received immunomodulatory nutrition p = 0.001. The median follow-up was 84.05 ± 17.48 days until discharge. In the immunomodulatory supplement group it was 77.18 ± 13.72 days (p = 0.001). Conclusions: The data support a benefit of oral supplementation in this type of patients improving their nutritional status. The group that was supplemented with Atempero®, stood out both in the recovery of albumin levels and in a better evolution, which translates into a significantly earlier discharge.

Introduction: Assistance of complex chronic patients occupies much of the health care activity of home care hospital bassed (HCHB). The chronic anemias are frequent as a secondary clinic picture due to the deficit of the tissues oxygenation capacity for lack of contribution. Aim: to know the prevalence of transfusions and the characteristics of the patients in the HCHB of the Hospital General Universitario de Alicante. Material and methods: Descriptive, cross-sectional study of transfused patients in the HCHB of General University of Alicante from the 1st of October 2016 until the 31th of march of 2017. Results: 136 transfusions were performed in 52 patients with a median of 82 years IQ [68-88]. The most of them were palliatives and the 53,8% were males. They were transfused using an average hemoglobin of 7,8g/dl ± 0,9 and all of them showed symptomatology. No type of adverse reaction was registered. The degree of patient satisfaction and their relatives was high. 9.7 ± 0.3. The prevalence was 121.86 transfusions / 1000 patients in the HAD. Conclusions: The transfusions have been a safe procedure at the patient’s home. The most part of the transfused patients were palliatives. All the recorded transfusions were indicated analytical and clinically. The high degree of patients satisfaction and their relatives makes infer that we are contributing to improve their quality of life.