Adults miscoded and misdiagnosed as having pneumonia: results from the British Thoracic Society pneumonia audit

Daniel, Priya and Bewick, Thomas and Welham, Sally and McKeever, Tricia M. and Lim, Wei Shen (2017) Adults miscoded and misdiagnosed as having pneumonia: results from the British Thoracic Society pneumonia audit. Thorax, 72 (4). pp. 376-379. ISSN 1468-3296

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Abstract

A key objective of the British Thoracic Society national community-acquired pneumonia (CAP) audit was to determine the clinical characteristics and outcomes of hospitalised adults given a primary discharge code of pneumonia but who did not fulfil accepted diagnostic criteria for pneumonia. Adults miscoded as having pneumonia (n=1251) were older compared with adults with CAP (n=6660) (median 80 vs 78 years, p<0.001) and had more comorbid disease, significantly fewer respiratory symptoms (fever, cough, dyspnoea, pleuritic pain), more constitutional symptoms (general deterioration, falls) and significantly lower 30-day inpatient mortality (14.3% vs 17.0%, adjusted OR 0.75, p=0.003).

Item Type: Article
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Epidemiology and Public Health
Identification Number: 10.1136/thoraxjnl-2016-209405
Depositing User: Claringburn, Tara
Date Deposited: 16 Jun 2017 12:26
Last Modified: 16 Jun 2017 12:30
URI: http://eprints.nottingham.ac.uk/id/eprint/43587

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