The number of admissions in 2016 increased significantly reaching the highest level ever attained since 2001, with an increment of 13.7% over the previous year. The major increment of admissions took place in Medical Ward (+68%), Gynecology Ward (+23%), to a lesser extent in Neonatal Unit (+14.8%), Orthopaedic Ward (+14.5%), and Maternity (+11%). Only in Surgical Ward and TB Ward there was a slight decline of admissions (-4.6% and -4.3%, respectively).
The substantial increment of admissions has determined a parallel increment of the BOR, only minimally contained by a reduction of the average length of stay (+7.9%). This created some problems in securing appropriate availability of beds more frequently that in the past years. Pediatric and the Maternity wards (including the Neonatology Unit) have been most affected with the consequence that patients in many instances had to be transferred temporarily to other wards. It appears reasonable to consider some limited and carefully planned expansion of beds availability to meet a growing demand.