To the Editor: The article by Siu et al. (Nov. 13 issue)* raises some important questions. The first concerns the use of experts and the Appropriateness Evaluation Protocol (AEP) as yardsticks for measuring the appropriateness of a hospital admission. How would the protocol evaluate an elderly patient with normal vital signs, normal laboratory data, and normal x-ray findings who reports vague abdominal and back pain? Could the AEP or an expert reviewing this patient's chart judge better than I whether this patient may or may not have a dissecting abdominal aortic aneurysm? If it turns out that he does not.
|Number of pages||2|
|Journal||New England Journal of Medicine|
|State||Published - 7 May 1987|