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

Daniel, Priya; Bewick, Thomas; Welham, Sally; McKeever, Tricia M.; Lim, Wei Shen

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).

Citation

Daniel, P., Bewick, T., Welham, S., McKeever, T. M., & Lim, W. S. (2017). Adults miscoded and misdiagnosed as having pneumonia: results from the British Thoracic Society pneumonia audit. Thorax, 72(4), https://doi.org/10.1136/thoraxjnl-2016-209405

• Journal Article Type: Article
• Acceptance Date: Dec 24, 2016
• Online Publication Date: Mar 17, 2017
• Publication Date: Apr 1, 2017
• Deposit Date: Jun 16, 2017
• Publicly Available Date: Jun 16, 2017
• Journal: Thorax
• Print ISSN: 0040-6376
• Electronic ISSN: 1468-3296
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 72
• Issue: 4
• DOI: https://doi.org/10.1136/thoraxjnl-2016-209405
• Public URL: https://nottingham-repository.worktribe.com/output/853668
• Publisher URL: http://thorax.bmj.com/content/72/4/376
• Contract Date: Jun 16, 2017