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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3117.5

Abstract

Objective: Degree of correlation between Emergency Department admission and hospital discharge diagnosis. Design: A prospective study in a six month period at Accident and Emergency Department of Peerless Hospital and B.K. Roy Research Centre, Kolkata, which had four in- patient specialties- Medicine, Surgery, Paediatrics and Orthopaedics.Subjects: All cases admitted through the emergency department in the study period. Main outcome measures:degree of correlation between emergency department admission diagnosis and hospital discharge diagnosis. Results: of all admission diagnosis, 75.77% was accurate or partially accurate to the final discharge diagnosis.The accuracy of diagnosis was statistically better in traumatic cases, male sex, and younger adults.Conclusion: history talking and physical examination remained the most important diagnostic tools in the emergency department. Simple investigations available at the emergency department were not helpful in improving diagnostic accuracy.
 

Keywords : Diagnosis; Diagnostic tools

Corresponding Author : Indraneel Dasgupta, Clinical Director and Head, Department of Emergency Medicine, The Institute of Emergency and Trauma Care, Peerless Hospital & B.K.Roy Research Center 360 Panchasayar, Kolkata - 700094 West Bengal.