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A Comparative Study to Evaluate the Degree of Correlation between Emergency Department Admission Diagnosis and Hospital Discharge Diag

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. , Indraneel Dasgupta , Amit Kumar Yadav , Indranil Mitra

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Indian Journal of Emergency Medicine 3(1):p 32-36, January - June 2017. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3117.5

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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.
 

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

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Diagnosis; Diagnostic tools

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