Factors lowering the threshold for hospital admission
A lower threshold for admission is appropriate in patients:
- seen in the afternoon or evening rather than earlier in the day
- with recent onset of nocturnal symptoms or worsening of symptoms
- who have had previous severe attacks, especially if the onset was rapid
- in whom there is concern over their assessment of severity of symptoms
- in whom there is concern over the social circumstances or relatives' ability to respond appropriately
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