Inappropriate hospital admission: Interaction between patient age and co-morbidity

Internal and Emergency Medicine

Volumn 6, Issue 4, 2011, Pages 361-367

  Gamper, Gudrun ^a   Wiedermann, Wolfgang ^b,c   Barisonzo, Riccardo ^a   Stockner, Ingrid ^a   Wiedermann, Christian Josef ^a  

^a CENTRAL HOSPITAL OF BOLZANO   (Italy)

^b UNIVERSITY OF KLAGENFURT   (Austria)

^c CARINTHIA UNIVERSITY OF APPLIED SCIENCES   (Austria)

Author keywords

Aged; Appropriateness review; Comorbidity; Diagnosis related groups; Patient admission; Regional health planning

Indexed keywords

ADOLESCENT; ADULT; AGE; AGED; ARTICLE; CHI SQUARE DISTRIBUTION; COMORBIDITY; CONFIDENCE INTERVAL; CROSS-SECTIONAL STUDY; DIAGNOSIS RELATED GROUP; EMERGENCY HEALTH SERVICE; FEMALE; HOSPITALIZATION; HUMAN; ITALY; MALE; METHODOLOGY; MIDDLE AGED; PROSPECTIVE STUDY; RECEIVER OPERATING CHARACTERISTIC; RISK; RISK ASSESSMENT; STATISTICAL MODEL; STATISTICS;

ADOLESCENT; ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; CHI-SQUARE DISTRIBUTION; COMORBIDITY; CONFIDENCE INTERVALS; CROSS-SECTIONAL STUDIES; DIAGNOSIS-RELATED GROUPS; FEMALE; HOSPITALIZATION; HUMANS; ITALY; LOGISTIC MODELS; MALE; MIDDLE AGED; ODDS RATIO; PROSPECTIVE STUDIES; RISK ASSESSMENT; ROC CURVE; TRIAGE; YOUNG ADULT;

EID: 79960565171     PISSN: 18280447     EISSN: 19709366     Source Type: Journal    
DOI: 10.1007/s11739-011-0629-0     Document Type: Article

References (24)

1. David M, Schwartau I, Anand Pant H et al (2006) Emergency outpatient services in the city of Berlin: factors for appropriate use and predictors for hospital admission. Eur J Emerg Med 13: 352-357.
2. Ingarfield SL, Finn JC, Jacobs IG et al (2009) Use of emergency departments by older people from residential care: a population based study. Age Ageing 38: 314-318.
3. Smith HE, Pryce A, Carlisle L et al (1997) Appropriateness of acute medical admissions and length of stay. J R Coll Physicians Lond 31: 527-532.
4. McDonagh MS, Smith DH, Goddard M (2000) Measuring appropriate use of acute beds. A systematic review of methods and results. Health Policy 53: 157-184.
5. Lang T, Davido A, Logerot H et al (1995) Appropriateness of admissions: the French experience. Int J Qual Health Care 7: 233-238.
6. Fellin G, Apolone G, Tampieri A et al (1995) Appropriateness of hospital use: an overview of Italian studies. Int J Qual Health Care 7: 219-225.
7. De La Fuente DO, Peirò S, Marchan C et al (1996) Inappropriate hospitalization. Reasons and determinants. Eur J Public Health 6: 126-132.
8. Siu AL, Sonnenberg FA, Manning WG et al (1986) Inappropriate use of hospitals in a randomized trial of health insurance plans. N Engl J Med 315: 1259-1266.
9. Pileggi C, Bianco A, Di Stasio SM et al (2004) Inappropriate hospital use by patients needing urgent medical attention in Italy. Public Health 118: 284-291.
10. Agenzia dei Servizi Sanitari Regionali (2003) DRG ad alto rischio di inappropriatezza se in regime di ricovero ordinario. Monitor 2: 63-66.
11. Louis D, Taroni F, Melotti R et al (2008) Increasing appropriateness of hospital admissions in the Emilia-Romagna region of Italy. J Health Serv Res Policy 13: 202-208.
12. Autonome Provinz Bozen. Gesundheitsbericht 2008. http://www. provinz. bz. it/eb/download/Gesundheitsbericht_2008_TED. pdf (accessed June 25, 2010).
13. Lorenzo S, Lang T, Pastor R et al (1999) Reliability study of the European appropriateness evaluation protocol. Int J Qual Health Care 11: 419-424.
14. Charlson ME, Pompei P, Ales KL (1987) A new method of classifying prognostic co-morbidity in longitudinal studies: development and validation. J Chronic Dis 40: 373-383.
15. Lang T, Liberati A, Tampieri A et al (1999) A European version of the Appropriateness Evaluation Protocol. Goals and presentation. The BIOMED I group on appropriateness of hospital use. Int J Technol Assess Health Care 15: 185-197.
16. Hosmer DW, Lemeshow S (2000) Applied Logistic Regression, 2nd ed edn. Wiley, New York.
17. Angelillo IF, Ricciardi G, Nante N et al (2000) Appropriateness of hospital utilisation in Italy. Public Health 114: 9-14.
18. Bianco A, Pileggi C, Rizza P et al (2006) An assessment of inappropriate hospital bed utilization by elderly patients in southern Italy. Aging Clin Exp Res 18: 249-256.
19. DeCoster C, Roos NP, Carrière KC et al (1997) Inappropriate hospital use by patients receiving care for medical conditions: targeting utilization review. CMAJ 157: 889-896.
20. Ingold BB, Yersin B, Wietlisbach V et al (2000) Characteristics associated with inappropriate hospital use in elderly patients admitted to a general internal medicine service. Aging (Milano) 12: 430-438.
21. Sangha O, Schneeweiss S, Wildner M et al (2002) 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 14: 483-492.
22. France G, Taroni F, Donatini A (2005) The Italian health-care system. Health Econ 14(Suppl 1): S187-S202.
23. Smeets PM, Verheggen FW, Pop P et al (2000) Assessing the necessity of hospital stay by means of the appropriateness evaluation protocol: how strong is the evidence to proceed? Int J Qual Health Care 12: 483-493.
24. Naughton C, Drennan J, Treacy P et al. (2010) How different are older people discharged from emergency departments compared with those admitted to hospital? Eur J Emerg Med 2010 Apr 28. [Epub ahead of print].