Fontes de discordancia em diagnosticos psiquiatricos em hospitais do Rio de Janeiro, Brasil

Abstract

The hospitalization records for two consecutive admissions of the same patients were examined at three psychiatric hospital in Rio de Janeiro, Brazil. The authors investigated sources of discrepancy between diagnosis, examining such data as sex and age of patients, type of hospital (public, private or academic), type of diagnosis, interval between admissions, average duration of stay, and whether or not the evaluating physicians and the institutions were the same in both adminissions. the diagnosis categories "Schizophrenia" and "Alcohol and drugs" showed fewer discrepancies than the other groups of diagnoses as a whole, regardless of the hospital in which the admissions had been (P 0.01). In the case of patients with the two admissions at different hospitals, the type of diagnosis and the interval between the last two admissions were found to be associated with diagnosis discrepancy (P 0.05). When the last two admissions were the same institution, discrepancies were associated with the type of hospital and whether or not the attending physician was the same in both events (P 00.1)