Abstract
Inconsistencies in clinical practice, coupled with uncertainty, are constants across all scenarios and throughout all time. In countries with better-developed healthcare models, overuse is far more problematic than underuse, hence the appearance of methods for assessing hospital inadequacy at the end of the 20th century [1]. During the COVID-19 pandemic, hospital admission criteria have been questioned based on the alleged inconsistency between hospitals [2,3]. Several studies put the proportion of inappropriate visits to hospital emergency services at between 20% and 80% of the total [4,5]. However, these studies date to the pre-SARS-CoV-2 pandemic period.
Highlights
Inconsistencies in clinical practice, coupled with uncertainty, are constants across all scenarios and throughout all time
If we add the patients hospitalised according to the hospital admission criteria with a SCORE equal to or greater than III on the PSI scale, the percentage of patients increases to 82.5%
This study shows a total alignment between the hospital admissions and the MAP scale, i.e. there was no incongruency
Summary
Inconsistencies in clinical practice, coupled with uncertainty, are constants across all scenarios and throughout all time. In countries with better-developed healthcare models, overuse is far more problematic than underuse, the appearance of methods for assessing hospital inadequacy at the end of the 20th century [1]. During the COVID-19 pandemic, hospital admission criteria have been questioned based on the alleged inconsistency between hospitals [2,3]. Several studies put the proportion of inappropriate visits to hospital emergency services at between 20% and 80% of the total [4,5]. These studies date to the pre-SARS-CoV-2 pandemic period.
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