Hospitalised adults with pneumonia are frequently misclassified as another diagnosis
Hospitalised adults with pneumonia are frequently misclassified as another diagnosis
Using data from a large randomised controlled trial of adults hospitalised with acute respiratory illness, we examined the reliability of pneumonia diagnosis on discharge documentation. 50 (28.2%) of 177 patients with a pneumonia diagnosis had no radiological evidence of pneumonia. 67 (34.9%) of 192 patients with clinico-radiological evidence of pneumonia did not have a diagnosis of pneumonia listed; ‘COPD exacerbation’ or ‘lower respiratory tract infection’ was often listed instead. These patients more frequently had a respiratory comorbidity and lower oxygen saturations, CRP and temperature at presentation. Pneumonia diagnoses misclassification on discharge documentation may have clinical, financial, and research data implications.
81-84
Brendish, Nathan
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Malachira, Ahalya
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Beard, Kate
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Armstrong, Lawrence
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Lillie, Patrick J.
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Clark, Tristan
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April 2019
Brendish, Nathan
a8a4189e-01eb-4ab3-933e-a24cd188a4d7
Malachira, Ahalya
dd1d5b84-f338-44a5-9429-3e3e93a1c953
Beard, Kate
85604fec-3541-48cb-9abf-a76c2a32c3f1
Armstrong, Lawrence
475ef87d-c60a-48d9-b9fe-ffeea5a3d588
Lillie, Patrick J.
3068afd9-e2bd-4c75-8ad3-e95b412f3456
Clark, Tristan
712ec18e-613c-45df-a013-c8a22834e14f
Brendish, Nathan, Malachira, Ahalya, Beard, Kate, Armstrong, Lawrence, Lillie, Patrick J. and Clark, Tristan
(2019)
Hospitalised adults with pneumonia are frequently misclassified as another diagnosis.
Respiratory Medicine, 150, .
(doi:10.1016/j.rmed.2019.02.013).
Abstract
Using data from a large randomised controlled trial of adults hospitalised with acute respiratory illness, we examined the reliability of pneumonia diagnosis on discharge documentation. 50 (28.2%) of 177 patients with a pneumonia diagnosis had no radiological evidence of pneumonia. 67 (34.9%) of 192 patients with clinico-radiological evidence of pneumonia did not have a diagnosis of pneumonia listed; ‘COPD exacerbation’ or ‘lower respiratory tract infection’ was often listed instead. These patients more frequently had a respiratory comorbidity and lower oxygen saturations, CRP and temperature at presentation. Pneumonia diagnoses misclassification on discharge documentation may have clinical, financial, and research data implications.
Text
ResPOC pneumonia Respir Med Accepted Manuscript
- Accepted Manuscript
More information
Accepted/In Press date: 12 February 2019
e-pub ahead of print date: 21 February 2019
Published date: April 2019
Identifiers
Local EPrints ID: 428525
URI: http://eprints.soton.ac.uk/id/eprint/428525
ISSN: 0954-6111
PURE UUID: 4aea28a0-6440-4885-b290-ff02f156d145
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Date deposited: 01 Mar 2019 17:30
Last modified: 27 Apr 2024 04:03
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Contributors
Author:
Ahalya Malachira
Author:
Kate Beard
Author:
Lawrence Armstrong
Author:
Patrick J. Lillie
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