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Παρασκευή 20 Ιουλίου 2018

Admission prediction rules: some limited promise, but far from proven

The internationally shared problem of emergency department crowding appears to have generated an interest in admission prediction rules. These are not rules to predict which patients would benefit from an admission—a clinical question—but rather who will be admitted—an administrative question that has repercussions for the entire hospital system. These rules are conceptually different from the prediction rules usually encountered in medicine, which aim to provide clinicians with an evidence basis to better target testing and treatment in order to improve patient outcomes. The immediate goal of the admission prediction rules presented here is to improve the efficiency of care processes. So could these rules still benefit patients, or only hospital administrators? What is the potential utility of such rules? And do those presented here live up to that potential?

In their recent study from Australia, Ebker-White et al validate the Sydney Triage to Admission Risk Tool (START) previously designed for early...



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