The presence of high-risk co-morbid conditions, including pneumonia, cardiac arrhythmia, congestive heart failure, diabetes mellitus, renal or liver failure |
Inadequate response of symptoms to outpatient management |
Marked increase in dyspnoea |
Inability to eat or sleep due to symptoms |
Worsening hypoxaemia |
Worsening hypercapnia |
Changes in mental status |
Inability of the patient to care for her/himself (lack of home support) |
Uncertain diagnosis |
Inadequate home care |