A national study found over half of pneumonia patients experienced discordant diagnoses from initial presentation to discharge, highlighting significant diagnostic uncertainty and the need for improved accuracy in pneumonia care.
Reviewed by Danielle Ellis, B.Sc.Aug 5 2024 A national cohort study representing more than 2 million patient encounters found that more than half of all patients hospitalized and treated for pneumonia experienced discordant diagnoses from initial presentation to discharge.
The authors suggest that these findings call for enhanced attention to the diagnostic process and research that acknowledges uncertainty to improve patient outcomes in pneumonia treatment. This is important because pneumonia is the leading cause of death from infection. The study is published in Annals of Internal Medicine.
To explore the change in a pneumonia diagnosis across a hospitalization, the researchers classified each hospitalization according to concordance or discordance in pneumonia diagnoses between three states: initial diagnosis made in the ED, initial chest image reports, and discharge. They then measured the concordance of the admission diagnosis of pneumonia, a radiographic finding consistent with pneumonia, and a discharge diagnosis of pneumonia.
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