Archives of Academic Emergency Medicine

Vol. 13 No. 1 (2025)

Diagnostic Relabelling and Concordance in Emergency Departments: A Comment on Mattoo et al. Study

Archives of Academic Emergency Medicine, Vol. 13 No. 1 (2025), 6 September 2025 , Page e69
https://doi.org/10.22037/aaem.v13i1.2865

Abstract

This letter suggests that relabelling often reflects documentation differences rather than diagnostic error. It highlights higher mismatch rates in paediatric and neurological patients and considers whether improved coding systems or earlier access to investigations could reduce these gaps. Future studies assessing diagnostic confidence at admission and stronger collaboration between emergency and inpatient teams may also help improve concordance.

Keywords:
  • diagnostic
  • relabelling
  • accident
  • emergency
  • department
  • mismatch
  • concordance
  • referral
  • specialty

How to Cite

1.
MANNU G. Diagnostic Relabelling and Concordance in Emergency Departments: A Comment on Mattoo et al. Study. Arch Acad Emerg Med [Internet]. 2025 Sep. 20 [cited 2026 Jul. 7];13(1):e69. Available from: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2865

References

Mattoo AI, Al-Shahrani S, Mattoo FA, Al-Asiri S, Obeid A, Sarmiento DN, et al. Agreement Between Emergency Department Admission and Hospital Discharge Diagnoses; A Retrospective Observational Study. Arch Acad Emerg Med. 2025;13(1):e52.

Avelino-Silva TJ, Steinman MA. Diagnostic discrepancies between emergency department admissions and hospital discharges among older adults: secondary analysis on a population-based survey. Sao Paulo Med J. 2020;138(5):359–67.

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