ArticleArchives of academic emergency medicine2025
Agreement Between Emergency Department Admission and Hospital Discharge Diagnoses; A Retrospective Observational Study.
Article in Archives of academic emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Impact of Point-of-Care Ultrasound on the Management of Abdominal Pain in the Emergency Department: A Quasi-Experimental Study.Journal of clinical medicine · 2026Article
- Diagnostic Relabelling and Concordance in Emergency Departments: A Comment on Mattoo et al. Study.Archives of academic emergency medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: An accurate emergency department (ED) diagnosis is critically important for providing proper treatment during the so-called "Golden Hour." This study aimed to evaluate the agreement between admitting and discharge diagnoses in ED. Method: This retrospective cross-sectional study was conducted over the course of 6 months in the emergency department (ED) of a tertiary care center. The main aim of the study was to evaluate the agreement between admission and hospital discharge diagnoses. The patients were categorized into two groups based on whether the admitting and discharge diagnoses were matched or mismatched. The reasons for diagnostic discrepancies, as well as their impact on patient outcomes, were assessed. Results: A total of 6812 cases with mean age of 43.2 ± 17.9 (range: 1-95 years) years were included (59.30% male). The admitting and discharge diagnoses were matched in 5585 (81.99%) cases and mismatched in 1227 (18.01%) cases (7.2% were completely unmatched). The proportion of mismatched diagnoses did not differ significantly between males and females (p = 0.0977). Mismatched diagnoses were significantly more common in 0-15 years age group (37.86%), and the lowest proportion was seen in patients aged 15-65 years (9.65%) (p < 0.001). The most frequent reason for diagnostic discrepancy was "writing chronic disease as discharge diagnosis (relabeling)," (37.08%). Other contributing factors included radiological tests after hospital admission (20.37%), physical examination findings (18.1%), additional laboratory tests (15.81%), and other causes (8.57%). A change in diagnosis impacted the clinical outcomes of 103 (8.39%) patients. Conclusion: Diagnostic agreement between ED and discharge diagnoses was observed in 81.99% of cases, with a 7.2% complete mismatch rate. The most frequent causes were discharge relabeling and delayed investigations. These discrepancies had measurable impacts on management, hospital stay, and mortality.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.