Published: 22 August 2019
Author(s): Matthaios Papadimitriou-Olivgeris, Hervé Duplain
Issue: August 2019
Section: Letter to the Editor

We would like to thank Dr. Tosoni and his colleagues for commenting on our recent article and we appreciate this opportunity to further clarify our work [1]. We fully agree that Internal Medicine patients are complex and discrepancies may be observed among studies given that most of them were conducted in University Hospitals where the degree of complexity of hospitalized patients was even higher [2,3].

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