Direct admission to intermediate care for older adults with reactivated chronic diseases: Avoiding both conventional hospitalization and emergency department use?

摘要

To the Editor: In an article published in the Journal of the American Medical Directors Association, Colprim et al reported preliminary results of direct admission of older adults with reactivated chronic diseases to postacute intermediate-care geriatric units (ICGUs) as a potential alternative to conventional hospitalization for selected patients in need of acute treatment and low intensity rehabilitation. We would like to support this article based on our experience in admission to Intermediate Care (referrals from emergency department [ED] or directly from the community by a coordinated multidisciplinary team managed by a geriatrician) in a comparable facility situated in the same geographic area.