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The study found that 76 percent of patients with a fever were seriously ill , that 49.6 percent had none of the standard indications of serious illness but were later found to be so , and that 13.8 percent of those discharged from the emergency department were later admitted to the hospital with serious ailments , mainly pneumonia , urinary tract infection or sepsis ( bacterial infection of the blood ) . " This is important in light of the rapid growth of older people in the population and the complexity of evaluating older patients , " says Gabor Kelen , M.D ., the study 's senior author and director of emergency medicine at The Johns Hopkins Medical Institutions . The promise of the 1996 Act was that rates would come down , not that they would remain the same as the result of secret deals in which one set of federal taxes goes down and another goes up , while citizens are none the worse for the regulatory sleight of hand . " If physicians ask only people who meet the criteria for major depression whether they are having suicidal thoughts , they are likely to miss two thirds of their patients who are thinking about suicide , " Cooper-Patrick says . With these priorities in mind , I am happy to provide Congress with our proposal for changes to the way these mechanisms are administered .