ArticleWorld journal of pediatrics : WJP2010
Discharge of children from hospital against medical advice.
Article in World journal of pediatrics : WJP, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 59 citations in OpenAlex.
- Prevalence, Reasons, and Determinants of Discharge Against Medical Advice Among Hospitalized Pediatric Patients at the University of Gondar Comprehensive Specialized Hospital: A Prospective Observational Study.Health science reports · 2026Article
- Caregivers' reasons and health professionals' perceptions of pediatric discharge against medical advice in Eastern Ethiopia: a mixed-methods study.BMC pediatrics · 2025Article
- Children Discharged Against Medical Advice and Their Outcome in a Public Hospital in India: A Prospective Cohort Study.Indian pediatrics · 2025Article
- Article
- Discharge against medical advice in Special Care Newborn Unit in Chattogram, Bangladesh: Prevalence, causes and predictors.PloS one · 2023Article
- Leave Against Medical Advice amongst Pediatric Patients Admitted in a Tertiary Teaching Hospital in Nepal: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2021Article
- Estimated Survival and Major Comorbidities of Very Preterm Infants Discharged Against Medical Advice vs Treated With Intensive Care in China.JAMA network open · 2021Article
- Determinants of discharge against medical advice from a rural neurosurgical service in a developing country: A prospective observational study.Surgical neurology international · 2020Article
- Factors influencing discharge against medical advice (DAMA) cases at a multispecialty hospital.Journal of family medicine and primary care · 2019Article
- Discharge against medical advice in paediatric patients.Journal of Taibah University Medical Sciences · 2019Article
- Predictors of Discharge Against Medical Advice in a Tertiary Paediatric Hospital.International journal of environmental research and public health · 2019Article
- Discharge against medical advice (DAMA): Causes and predictors.Electronic physician · 2017Article
- Outcome of childhood malignancies at the University of Port Harcourt Teaching Hospital: a call for implementation of palliative care.African health sciences · 2016Article
- Prevalence of and Reasons for Patients Leaving Against Medical Advice from Paediatric Wards in Oman.Sultan Qaboos University medical journal · 2016Article
- Discharge against Medical Advice at Neonatal Intensive Care Unit in Gujarat, India.International journal of pediatrics · 2016Article
- Hospitalized Pregnant Women Who Leave Against Medical Advice: Attributes and Reasons.Maternal and child health journal · 2016Article
- Rate and Causes of Discharge against Medical Advice in Iranian Hospitals: A Systematic Review and Meta-Analysis.Iranian journal of public health · 2015Review
- Studying the rate and causes of discharge against medical advice in hospitals affiliated to mazandaran university of medical sciences.Materia socio-medica · 2014Article
- Discharge against Medical Advice among Children in Oman: A university hospital experience.Sultan Qaboos University medical journal · 2013Article
- Discharge against medical advice: a case study in a public teaching hospital in Tehran, Iran in 2012.Global journal of health science · 2013Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDischarge against medical advice (DAMA) from hospital may have negative effects on the well-being of the patients. In pediatric patients the decision for DAMA is made by the parent(s). The present study aimed to evaluate the prevalence of DAMA and examine the reasons for DAMA provided by the parents.
methodsA cross-sectional descriptive study on DAMA was conducted from March 2005 to February 2007 in the pediatric ward of Taleghani hospital in Tehran, Iran.
resultsThe prevalence of DAMA was 5.3%, comprising 97 of 1842 children discharged. The age of the 97 children ranged from 1 day to 8 years, with a mean hospitalization duration of 4 ± 3.3 days. Seventy-seven (79.4%) of the 97 children were <12 months. Thirty-four (35.1%) children were discharged within 48 hours of admission. The most commonly diagnosed diseases in these children were neonatal jaundice (37.1%), sepsis (21.6%), and gastroenteritis (16.4%). The reasons for DAMA were as follows: parent's assumption of improvement (32.9%), dissatisfactory treatment and care (29.9%), inconvenience for child hospitalization (18.5%), and financial constraints (15.5%).
conclusionsThe prevalence of DAMA in the present study was within the range of other DAMA studies in children. The majority of DAMA cases could have been prevented by more satisfactory facilities and effective communication between medical staff and the parents.
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