Abstract
Our aim was to evaluate the rate and the reasons for inappropriate hospital use in a medical Short Stay Unit (SSU) in comparison with conventional hospitalization. The Appropriateness Evaluation Protocol was applied to 352 patients admitted in the SSU and to 203 patients admitted in a department of internal medicine (control group). The rates of inappropriate hospital admissions (0.6% vs 3%; p = 0.023) and stays (6.9% vs 18.7%; p < 0.001) were significantly lower in the SSU with respect to the control group. Main causes of inappropriateness were also lower: conservative physician's attitude (9.4% vs 41.4%; p = 0.001), delay in diagnostic procedures (3.4% vs 11.3%; p < 0.001), and social and familiar factors (2.8% vs 9.4%; p = 0.001). A SSU is useful for the appropriateness of hospital use, due to its capacity to minimize the number and causes of inappropriate stays.
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