“…The decision to admit once a person is in the ED is based on a complex interplay of a number of factors that were not measured in this study. Factors reported in the general population that have not yet been studied in the ID population include availability of beds (Mattioni et al, 1999;Mulder, Koopmans, & Lyons, 2005;Streiner, Goodman, & Woodward, 1975), time of day of visit (Mattioni et al, 1999;Rabinowitz, Massad, & Fenning, 1995;Streiner et al, 1975), training level of medical staff (Fichtner & Flaherty, 1993;Meyerson, Moss, Belville, & Smith, 1979), and family interest in admission (Mattioni et al, 1999;Mulder et al, 2005;Rabinowitz et al, 1995). Future research with a larger sample is needed to closely examine the variables that medical staff consider in their decision to admit patients with ID.…”