We read with interest the article by Di Bari and colleagues (1) about prognostic stratification of older adults presenting to the Emergency Department (ED) by using administrative data. The authors developed and validated the "Silver Code" that (considering age, gender, marital status, recent hospital and day-hospital [DH] admissions, and number of taken drugs) identified older patients at increased risk for 1-year mortality and likely to benefit from admission to geriatrics instead of internal medicine wards. Despite the limitations stated by the authors, this is an interesting attempt to early identify older ED people with complex medical problems and poor prognosis (2), although some aspects deserve consideration.
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