Medical patients aged 65 and over admitted to an accident and emergency department

A study of 100 consecutive emergency medical admissions to Oldchurch Hospital was made to establish if the mode of referral--either by the general practitioner or self referral--influenced the presentation and severity of illness and the eventual outcome. Of the 94 cases analysed, 55 were self referred and 39 were sent in by their general practitioners. No significant differences were found between the two groups of patients, which suggests that the patient (or the patient's family or companion) is as discriminating as the general practitioner in deciding when emergency referral to hospital is necessary.