PriMera Scientific Surgical Research and Practice (ISSN: 2836-0028)

Research Article

Volume 2 Issue 2

Discharge Diagnosis vs Emergency Diagnosis, an Retrospective Study

Denada Selfo*

July 29, 2023


The aim of this study is to investigate the matching between emergency department and discharge diagnosis as well as how investigations affect accurately of emergency department diagnosis. One of the primary consequences of inconsistent diagnosis is the prolongation of hospital stays. The process of diagnosis entails identifying the illness that is the source of a patient's symptoms and warning signs. Investigations, the physical examination, and the history all play a significant role in making a successful initial diagnosis. The study was conducted retrospectively over a seven-month period in 2019 including four in-patient specialties: orthopedics, surgery, and medicine. All patients that entered the emergency room during the study period. The diagnostic accuracy was shown to be considerably higher in the younger age group when the adult patients were divided into groups by age (19-62 years versus 65 years or above, p value less than 0.001). 74% of diagnoses at admission completely or partially matched diagnoses at discharge. Traumatized cases and young people had significantly superior diagnosis accuracy, according to data. Improvements in ED diagnostic definitely needed, particularly for nontrauma situations, young patients, and the elderly. Patient history and clinical examination are the two tools that one may use to increase the accuracy of an ED diagnosis. Diagnoses such as chest illness, hip fracture, and injuries to the finger, leg, or foot were considered partial matches. Simple tests available in the ER were frequently ineffective at improving diagnostic accuracy.

Keywords: Emergency diagnosis; Traumatized cases; ER; investigations


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