Who is discharged to intermediate care facilities? An Italian study on the population of Udine
The objective of this study was to assess complexity of patients discharged from hospital to intermediate care facility in an Italian setting. Multiple anonymous health-related databases were linked through a stochastic key at individual patient level, in order to study patients discharged from the University Hospital of Udine, Italy, between 2010 and 2019. Patient complexity was measured through diagnosis-related group (DRG) relative weight of each hospitalization, number of chronic conditions and annual use of health resources. 12,674 intermediate care facility admissions were recorded in the study period. Mean DRG weight was 1.54±1.05 with variations depending on the discharging hospital ward. Patients discharged to intermediate facilities had higher DRG weight, had more comorbidities and consumed more health resources than the others, particularly in case of patients discharged from surgical wards. Patients discharged to intermediate care facilities are particularly complex, make extensive use of health resources, and may be difficult to manage.
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