Outcome | Discharge Diagnosis is | Frequency | Explanation | Example |
---|---|---|---|---|
Without diagnostic discrepancy | Identical | 436 (57.7%) | The two diagnoses are either verbatim or medically identical. | |
More precise | 190 (25.2%) | The IM discharge diagnosis is more precise than the ER diagnosis (e.g., by adding an established, disease-specific score or the result of a test that was not available at the ER). | ER diagnosis: atrial Fibrillation IM diagnosis: atrial Fibrillation, CHADS2-Score 4 | |
A complication | 36 (4.8%) | The primary discharge diagnosis from the IM was not foreseeable at the time of hospital admission at the ER but became the most prominent during hospitalization. | ER diagnosis: hospital acquired Pneumonia IM diagnosis: 1) acute septic ischemia of both legs 2) Legionella pneumonia | |
With diagnostic discrepancy | Hierarchically different | 25 (3.3%) | The primary ER diagnosis is listed among the IM discharge diagnoses but is not the primary discharge diagnosis. | ER diagnosis: 1) Recurrent falls 2) Gastroenteritis IM diagnosis: 1) Femoral neck fracture* 2) Recurrent falls 3) Gastroenteritis |
Diagnostically different | 68 (9.0%) | The primary ER diagnosis is not among the IM discharge diagnoses. | ER diagnosis: acute on chronic obstipation IM diagnosis: acute pancreatitis |