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January 20, 2017Thorax36 citationsOpen Access

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

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PDPriya DanielNottingham University Hospitals NHS TrustTBThomas BewickUniversity Hospitals of Derby and Burton NHS Foundation TrustSWSally WelhamBritish Thoracic Society

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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).

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Cite This Study

Daniel et al. (2017) studied this question.

synapsesocial.com/papers/69d84dd35c3030ff03d19d11https://doi.org/10.1136/thoraxjnl-2016-209405
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