Discrepancy between admission diagnosis in emergency and final diagnosis in ward and its correlation with length of hospital stay and mortality

• DOI: 10.4103/cmrp.cmrp_41_22
• Publication Date: 2022-10-31T03:56:06Z
• Authors: Umer Un Nabi; Asma Rafi; Muzaffar Maqbool; Parvaiz Ahmad Shah
• Keywords: Specialty; Univariate analysis

Background: Inception of emergency medicine as a specialty in India is on rise. Data the accuracy diagnosis made rooms scarce and with varied results especially no such data available from our part country. Aim: The aim this study was to evaluate discrepancy between admission final ward its correlation length hospital stay outcome. This an observational prospective study. Materials Methods: Patients were categorised per International Classification Diseases – Version 10. A total 2000 patients enrolled followed discharge. into two major groups 'Concordant' 'Discordant' diagnosis. Univariate analysis performed using SPSS version 20.0. Results: Five hundred fifty-three (27.65%) had discordant initial medical room. frequency highest for genitourinary system (39%) relatively low neoplasm (16%). average concordant group 5.15 days, whereas it 7.05 days ( P = 0.003). There statistically significant increase percentage mortality when diagnoses did not match 0.0005). Conclusions: diagnostic 27.65% occurred room ward. resulted mortality.