Characteristics of patients admitted to a Division of Internal Medicine. Is hospital the best setting of care?;Caratteristiche dei pazienti ricoverati in un Reparto per Acuti di Medicina Interna. È l'ospedale il luogo più idoneo di cura?

Annali Italiani di Medicina Interna

Volumn 20, Issue 4, 2005, Pages 233-244

  Becchi, Maria Angela ^a   Bellelli, Francesco ^a   Clarizio, Marco ^a   Carulli, Nicola ^a  

^a UNIVERSITY OF MODENA AND REGGIO EMILIA   (Italy)

Author keywords

Appropriateness of admissions; Comorbidity; Difficult discharges; Disability; Multidimensional assessment

Indexed keywords

AGED; ARTICLE; FEMALE; GERIATRICS; HOSPITAL DEPARTMENT; HOSPITALIZATION; HUMAN; INTERNAL MEDICINE; MALE; STATISTICS;

AGED; AGED, 80 AND OVER; FEMALE; GERIATRICS; HOSPITAL DEPARTMENTS; HOSPITALIZATION; HUMANS; INTERNAL MEDICINE; MALE;

EID: 33745565043     PISSN: 03939340     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (63)

1. Ghisla MK, Marengoni A, Cossi S, Leonardi R. Cognitive deficiency in internal medicine. Ann Ital Med Int 2001;16:106-11.
2. Luzzatto G, Bertomoro A, Cella G, Fabris F, Girolami A. Use and misuse of hospital admission in a department of medicine in Padua. Epidemiol Prev 1996;20:304-12.
3. Monti MA, Fabris FM, Secchi GC. Comorbidity in internal medicine: analysis of a caseload of 4156 subjects at their first hospitalization. Ann Ital Med Int 2001;16:38-45.
4. Castaldi S, Ferrari MR, Sabatino G, Trisolini R, Auxilia F. Valutazione del Pappropriatezza dell'attività di ricovero dell'O-spedale Maagiore di Milano IRCCS mediante l'utilizzo del metodo PRUO. Ann Ig 2002;14:399-408.
5. Manuale ICD9-CM traduzione italiana della versione 1997 della classificazione ICD9CM, predisposta a cura del Ministero della Salute e pubblicata dall'Istituto Polisrafico dello Stato, 2002.
6. Rozzini R, Frisoni GB, Ferrucci L, et al. Geriatric Index of Comorbidity: validation and comparison with other measures of comorbidity. Age Ageing 2002;31:277-85.
7. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-98.
8. Chopard P, Perneger TV, Gaspoz JM, et al. Predictors of inappropriate hospital days in a department of internal medicine. Int J Epidemiol 1998;27:513-9.
9. De Coster C, Roos NP, Carriere KC, Peterson S. Inappropriate hospital use by patients receiving care for medical conditions: targeting utilization review. CMAJ 1997;157:889-96.
10. Delgado Morales JL, Alonso del Busto R, Pascual Calleja I, Villacorta Martin MM, Ergueta Martin P, Gonzalez Sarmiento E. Observational study of patients admitted to an Internal Medicine service. An Med Interna 2004;21:3-6.
11. McMullan R, Silke B, Bennett K, Callachand S. Resource utilisation, length of hospital stay, and pattern of investigation during acute medical hospital admission. Postsrad Med J 2004;80:23-6.
12. Menu-Branthomme A, Benamouzig R, Bejou B, Coste T, Rautureau J, Huet B. Inappropriateness of hospital days and causes of failure in a Gastroenterology and Internal Medicine ward. Gastroenterol Clin Biol 2002;26:29-37.
13. Perneger TV, Chopard P, Sarasin FP, et al. Risk factors for a medically inappropriate admission to a Department of Internal Medicine. Arch Intern Med 1997;157:1495-500.
14. Carnessale G, Staniscia T, Matarrese D, et al. Appropriateness of hospitalization in the teaching hospital of Chieti using the PRUO approach. Ann Ig 2003;15:117-22.
15. Luis Zambrana Garcia J, Delgado Fernandez M, Cruz Caparros G, Diez Garcia F, Dolores Martin Escalante M, Salas Coronas J. Factors associated with inappropriate hospitalization at an internal medicine department. Med Clin (Bare) 2001;116:652-4.
16. Matorras Galan P, De Pablo Casas M, Otero Garcia L, Alonso Lopez F, Daroca Perez R, Diaz-Caneja Rodriguez N. Appropriateness of admissions to an internal medicine service at a tertiary hospital. Med Clin (Bare) 1990;94:290-3.
17. Ingold BB, Yersin B, Wieflisbach V, Burckhardt P, Bumand B, Bula CJ. Characteristics associated with inappropriate hospital use in elderly patients admitted to a general internal medicine service. Aging (Milano) 2000;12:430-8.
18. Attena F, Agozzino E, Troisi MR, Granito C, Del Prete U. Appropriateness of admission and hospitalization days in a specialist hospital. Ann Ig 2001;13:121-7.
19. Rentsch D, Luthy C, Perneger TV, Allaz AF. Hospitalisation process seen by patients and health care professionals. Soc Sci Med 2003;57:571-6.
20. Basu J, Friedman B, Burstin H. Primary care, HMO enrollment, and hospitalization for ambulatory care sensitive conditions: a new approach. Med Care 2002;40:1260-9.
21. Parchman ML, Culler S. Primary care physicians and avoidable hospitalizations. J Fam Pract 1994;39:123-8.
22. Coast J, Inslis A, Frankel S. Alternatives to hospital care: what are they and what should decide? BMJ 1996;312:162-6.
23. Jiwa M, Gerrish K, Gibson A, Scott H. Preventing avoidable hospital admission of older people. Br J Community Nurs 2002;7:426-31.
24. Sanderson C, Dixon J. Conditions for which onset or hospital admission is potentially preventable by timely and effective ambulatory care. J Health Serv Res Policy 2000;5:222-30.
25. Friborg JT, Taastrom A, Andersen IB, Schultz-Larsen P, Andreasen PB. Can emergency admissions to departments of internal medicine be replaced by planned admissions? Ugeskr Laeger 2002;164:4660-3.
26. Fried RA, Main DS, Calonge BN. Appropriateness of hospital use by family physicians. J Am Board Fam Pract 1994;7:229-35.
27. Reid FD, Cook DG, Majeed A. Explaining variation in hospital admission rates between general practices: cross sectional study. BMJ 1999;319:98-103.
28. Vehvilainen AT, Kumpusalo EA, Voutilainen SO, Takala JK. Does the doctors' professional experience reduce referral rates? Evidence from the Finnish referral study. Scand J Primary HealthCare 1996;14:13-20.
29. Franks P. Zwanziger T, Mooney C, Sorbero M. Variations in primary care physician referral rates. Health Serv Res 1999;34(Part 2):323-9.
30. Ambery P, Donald IP. Variation in general practice medical admission rates for elderly people. J Public Health Med 2000;22:422-6.
31. Armstrong D, Fry J, Armstrong P. Doctors' perceptions of pressures from patients for referral. BMJ 1991;302:1186-8.
32. Gribben B. General practitioners' assessments of the primary care caseload in Middlemore Hospital Emergency Department. N Z Med J 2003; I16: U329.
33. Tomas Vecina S, Duaso Magana E, Ferrer Tarres JM, Rodriguez Carballeira M, Porta Castejon R, Epelde Gonzalo F. Assessment of the appropriate utilization of an emergency department observation unit with the Appropriateness Evaluation Protocol: analysis of 4700 cases. An Med Interna 2000;17:229-37.
34. Villalta J, Siso A, Cereijo AC, Sequeira E, De La Sierra A. Appropriateness of hospitalization in a short stay unit of a teaching hospital. A controlled study. Med Clin (Bare) 2004;122:454-6.
35. Pottier P, Barrier JH, Lombrail P, et al. Medical practice analysis in internal medicine: a national descriptive study. Rev Med Interne 2004;25:448-58.
36. Pileggi C, Bianco A, Di Stasio SM, Angelillo IF. Inappropriate hospital use by patients needing urgent medical attention in Italy. Public Health 2004;118:284-91.
37. Sangha O, Schneeweiss S, Wildner M, et al. Metric properties of the appropriateness evaluation protocol and predictors of inappropriate hospital use in Germany: an approach using longitudinal patient data. Int J Qual Health Care 2002;14:483-92.
38. Eriksen BO, Forde OH, Kristiansen IS, et al. Cost savings and health losses from reducing inappropriate admissions to a department of internal medicine. Int J Technol Assess Health Care 2000;16:1147-57.
39. Eriksen BO, Kristiansen IS, Nord E, et al. The cost of inappropriate admissions: a study of health benefits and resource utilization in a department of internal medicine. J Intern Med 1999;246:379-87.
40. Rodriguez-Vera FJ, Marin Fernandez Y, Sanchez A, Borrachcro C, Puyol de la Llave E. Appropriateness of the admissions and stays in an internal medicine department of a secondary hospital using the current version of the AEP (Appropriateness Evaluation Protocol). An Med Interna 2003;20:297-300.
41. Thollander J, Gertow O, Hansen S, Carlsson B, Hallert C. Assessment of inappropriate emergency admissions. A study of 566 consecutive cases. Lakartidningen 2004;101:888-92.
42. Pemselli C, Di Giulio P, Toscani F, et al. Home palliative care for terminal cancer patients: a survey on the final week of life. Palliat Med 1999;13:233-41.
43. Wilkinson EK, Salisbury C, Bosanquet N, et al. Patient and carer preference for, and satisfaction with, specialist models of palliative care: a systematic literature review. Palliat Med 1999;13:197-216.
44. Fried TR, van Doom C, O'Leary JR, Tinetti ME, Drickamer MA. Older persons' preferences for site of terminal care. Ann Intern Med 1999;131:109-12.
45. Pearson B, Skelly R, Wileman D, Masud T. Unplanned readmission to hospital: a comparison of the views of general practitioners and hospital staff. Age Ageing 2002;31:141-3.
46. Van Walraven C, Mamdani M, Fang J, Austin PC. Continuity of care and patient outcomes after hospital discharge. J Gen Intern Med 2004;19:624-31.
47. Kossovsky MP, Chopard P, Bolla F, et al. Evaluation of quality improvement interventions to reduce inappropriate hospital use. Int J Qual Health Care 2002;14:227-32.
48. Di Iorio A, Longo A, Mitidieri Costanza A, et al. Factors related to the length of in-hospital stay of geriatric patients. Asina (Milano) 1999;11:150-4.
49. Ishizaki T, Imanaka Y, Oh E, et al. Association of hospital resource use with comorbidity status and patient age among hip fracture patients in Japan. Health Policy 2004;69:179-87.
50. Alarcon T, Barcena A, Gonzalez-Montalvo JI, Penalosa C, Salgado A. Factors predictive of outcome on admission to an acute geriatric ward. Age Ageing 1999;28:429-32.
51. Zanocchi M, Macro B, Francisetti F, et al. Multidimensional assessment and risk factors for prolonced hospitalization in the elderly. Aging Clin Exp Res 2003;15": 305-9.
52. Cameron S, McKenzie F, Warnock L, Farquhar D. Impact of a nurse led interdisciplinary team on acute medical admissions unit. Health Bull 2000;58:512-4.
53. Meschi T, Fiaccadori E, Cocconi S, et al. Analisi del problema "dimissioni difficili" nel'Azienda Ospedaliera-Universitaria di Parma. Ann Ital Med Int 2004;19:109-17.
54. Panis LJ, Verheggcn FW, Pop P. To stay or not to stay. The assessment of appropriate hospital stay: a Dutch report. Int J Qual Health Care 2002;14:55-67.
55. Ferrus L, Honrado G, Pcscador MT. Intensity of care during inappropriate hospital stay: Research Project in Nursing and Appropriateness Evaluation Protocol. Gac Sanit 2000;14:210-7.
56. Grant JA, Dowell J. A qualitative study of why general practitioners admit to community hospitals. Br J Gen Pract 2002;52:628-30.
57. Armstrong SH, Peden NR, Nimmo S, Alcorn M. Appropriateness of bed usage for inpatients admitted as emergencies to internal medicine services. Health Bull 2001;59:388-95.
58. Organizzazione Mondiale della SanitaG. ICF Classificazione Internazionale del Funzionamento, della Disabilità e della Salute. Trento: Edizioni Erickson, 2002.
59. NIH Consensus Development Conference Statement: geriatric assessment methods for clinical decision-making. J Am Geriatr Soc 1988;36:342-7.
60. Rubenstein LZ, Josephson KR, Wieland GD, English PA, Sayre GA, Kane RL. Effectiveness of a geriatric evaluation unit. A randomized clinical trial. N Engl J Med 1984;311:1664-70.
61. Applegate Y V B, Blass JP, Williams TF. Instruments for the functional assessment of older patients. N Enal J Med 1990;322:1207-14.
62. Masotti G, Senin U, Marchionni N, Cherubini A, Ungar A, Fumagalli S. La valutazione multidimensionale come strategia fondamentale in Geriatria. In: Atti del 95° Congresso della Società Italiana di Medicina Interna. Firenze, 1994:211-22.
63. Campbell SE, Seymour DG, Primrose WR, for the ACME-PLUS Project. A systematic literature review of factors affecting outcome in older medical patients admitted to hospital. Age Ageing 2004;33:110-5.