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Table 3 Distribution of patients according to diagnostic category

From: Approach to undifferentiated dyspnea in emergency department: aids in rapid clinical decision-making

Emergency department diagnosis

Number of patients

Number of incorrect ED diagnosis

Final discharge diagnosis of incorrect ED diagnosis cases

ADHF

(systolic or diastolic heart failure)

43

2

1. Volume overload/AKI

2. Acute bilateral bronchopneumonia

COPD

4

Nil

 

ARDS

7

1

Anaphylaxis

Acute pulmonary embolism

7

4

1. ASD/Beri beri

2. Pneumonia/sepsis with DIC

3. ADHF/pneumonia/severe anemia

4. ILD with Ac exacerbation of PAH

Acute pneumonia

4

1

Severe anemia with ADHF

Volume overload (AKI, CKD)

4

Nil

 

Massive pleural effusion

3

Nil

 

Both (cardiac and non-cardiac)

28

3

1. IPF acute exacerbation/RV failure

2. ADHF/malignant effusion

3. Severe anemia/RPGN

  1. ADHF acute decompensated heart failure, AKI acute kidney injury, ASD atrial septal defect, COPD chronic obstructive pulmonary disease, DIC disseminated intravascular coagulation, ARDS acute respiratory distress syndrome, ILD interstitial lung disease, PAH pulmonary arterial hypertension, IPF idiopathic pulmonary fibrosis, RPGN rapidly progressive glomerulonephritis