Hospitalised adults with pneumonia are frequently misclassified as another diagnosis

被引：8

作者：

Brendish, Nathan J. ^{[1
,2
]}

Malachira, Ahalya K. ^{[3
]}

Beard, Kate R. ^{[1
]}

Armstrong, Lawrence ^{[3
]}

Lillie, Patrick J. ^{[3
,4
]}

Clark, Tristan W. ^{[1
,3
,5
,6
]}

机构：

[1] Univ Southampton, Acad Unit Clin & Expt Sci, Southampton, Hants, England

[2] Univ Hosp Southampton NHS Fdn Trust, NIHR Southampton Clin Res Facil, Tremona Rd, Southampton, Hants, England

[3] Univ Hosp Southampton NHS Fdn Trust, Dept Infect, Southampton, Hants, England

[4] Hull & East Yorkshire Hosp NHS Trust, Dept Infect Dis, Kingston Upon Hull, N Humberside, England

[5] Univ Hosp Southampton NHS Fdn Trust, NIHR Southampton Biomed Res Ctr, Southampton, Hants, England

[6] NIHR Postdoctoral Fellowship Programme, Southampton, Hants, England

来源：

RESPIRATORY MEDICINE | 2019年 / 150卷

关键词：

Pneumonia; Diagnosis; COMMUNITY-ACQUIRED PNEUMONIA;

D O I：

10.1016/j.rmed.2019.02.013

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：81 / 84

页数：4