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Correspondingly, the two systems could have different thresholds for admission to- and discharge from the hospital.
Changes in admission and discharge policy over time and changes in bed numbers may have impacted on thresholds for admission [ 40].
It is quite probable that the increases are due to changing thresholds for admission rather than the severity of the problems of the presenting patient.
However, the patients in our study are those admitted to hospital and it is possible, even likely, that typical clinical thresholds for admission of patients with IM can be influenced by patients' socio-economic circumstances.
Limitations of the study centre on whether these trends reflect the occurrence of MVR injury severe enough to require admission or whether they relate to differences in coding or health service thresholds for admission of children with MVR injury.
This strict and objective outcome definition allows for increased confidence when comparing patients across centres; using intensive care unit admission alone as an outcome definition is subject to variability of thresholds for admission to intensive care between study sites.
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The introduction of centrally determined quality thresholds for admissions will have significant implications for those who do not enter universities through the standard Ucas routes.
In the UK this has resulted in a raised threshold for admission for suicide risk, and these higher-risk patients have to be managed in the community.
At some top-ranked high schools, students with low admission test scores can "buy" a few crucial points that put them over the threshold for admission.
NZ hospitals are unlikely to have a lower threshold for admission than Australian hospitals.
In our study, a low threshold for admission, premature discharge and inadequate discharge planning accounted for 25.6% of avoidable readmissions.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com