Abstract
INTRODUCTION: The majority of patients who are admitted to the departments of internal medicine are admitted acutely. The aim of this study was to evaluate the appropri ateness of admissions to a community hospital in Copen hagen. MATERIAL AND METHODS: During a threeweek period, all patients admitted to Bispebjerg Hospital's acute medical department (AMA) were consecutively included and retro spectively evaluated by a physician using the Appropriate ness Evaluation Protocol (AEP). Based on the AEP criteria, admissions were categorized as appropriate or inappropri ate. Uncertain admissions were evaluated and classified by three chief consultant physicians. RESULTS: A total of 470 patients were included, and 14% were classified as inappropriate. A total of 73 admissions failed to meet any AEP criteria, and 131 admissions only meet one AEP criterion. Prior to admission, 365 patients were examined by the admitting doctor, and of patients not examined before admission, 17 were classified as inap propriate. A total of 30% of all patients admitted were dis charged directly from the AMA within 2448 hours, and 42 of those were inappropriately admitted. CONCLUSION: Our study shows that 14% of acute admis sions could have been prevented. We found no evidence that preadmitting examination is important to prevent inap propriate admission. Several admissions could have been handled appropriately by a diagnostic unit or through sub acute referral to an outpatient clinic the following day. The AEP is a useful screening instrument, but insufficient for the evaluation of the handling of acute medical patients. FUNDING: not relevant. TRIAL REGISTRATION: not relevant.
| Original language | English |
|---|---|
| Article number | A4595 |
| Journal | Danish Medical Bulletin (Online) |
| Volume | 60 |
| Issue number | 3 |
| Pages (from-to) | 1-4 |
| Number of pages | 4 |
| ISSN | 1603-9629 |
| Publication status | Published - Mar 2013 |