Department of Internal Medicine Unit, Italy
*Corresponding author: Pietrantonio F, Department of Internal Medicine Unit, Italy
Submission: February 04, 2019;Published: February 07, 2019
ISSN: 2640-9208Volume3 Issue3
In recent years, the Internal Medicine (IM) Ward has been receiving an increasingly heterogeneous group of patients, many affected by acute or chronic diseases of varying severity, who are often elderly, frail, with co-morbidities, requiring intensive care due to epidemiological transition. Hospitalization of medical patients in large wards without prior stratification of severity, complexity, level of dependence, co-morbidities and without a proper assessment of the risk of rapid clinical deterioration, can lead to suboptimal treatment, resulting in prolonged hospital stay and increased care costs. Continuous monitoring of Emergency Room activity data has shown an increasing trend, regardless of the season, in ER presentation and subsequent hospitalization of patients over 65 years with exacerbation of chronic diseases such as a 1% increase in ER presentations could result in a 10% increase in Internal Medicine admissions, causing overcrowding both ER and IM ward .