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Obstructive Lung Diseases: Obstructive Lung Disease Diagnosis and Misdiagnosis |

The Over Diagnosis of COPD in Hospitalized Patients

Kerry Spero, DO; Fahim Khorfan, MD; Ghiath Bayasi, MD
Author and Funding Information

Genesys Regional Medical Center, Hartland, MI


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):921A. doi:10.1016/j.chest.2016.08.1021
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SESSION TITLE: Obstructive Lung Disease Diagnosis and Misdiagnosis

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Wednesday, October 26, 2016 at 07:30 AM - 08:30 AM

PURPOSE: Chronic Obstructive Pulmonary Disease (COPD) is one of the leading diagnoses of hospitalized patients Symptoms of dyspnea, cough, and wheezes are common in patients admitted to the hospital and are shared by many pulmonary and non-pulmonary diagnoses. History and physical examinations are usually used to diagnose and treat hospitalized patients with COPD. ICD-9, recently replaced by ICD-10, are utilized for billing and reimbursement purposes. Quality improvement measures rely on the clinical as well as the ICD coding. Confirmatory testing to verify the airflow obstruction is widely available, but rarely used. We suspect this results in substantial misdiagnoses of COPD, with devastating consequences.

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