ArticleThe journal of Tehran Heart Center2012
Discharge against Medical Advice among Inpatients with Heart Disease in Iran.
Article in The journal of Tehran Heart Center, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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Who cites it
11 citing papers in PubMed, 18 citations in OpenAlex.
- Who Left the Hospital Against Medical Advice During the Early COVID-19 Pandemic?HCA healthcare journal of medicine · 2023Article
- Why Do Patients Leave against Medical Advice? Reasons, Consequences, Prevention, and Interventions.Healthcare (Basel, Switzerland) · 2021Review
- Rate and causes of discharge against medical advice from a university hospital emergency department in Iran: an ethical perspective.Journal of medical ethics and history of medicine · 2020Article
- Retrospective Evaluation of Patients Leaving against Medical Advice in aTertiary Care Teaching Hospital.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2019Article
- Patients Leaving Against Medical Advice-A National Survey.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2019Article
- Retrospective Evaluation of Patients Who Leave against Medical Advice in a Tertiary Teaching Care Institute.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2018Article
- Predictors of Adverse Outcomes of Patients with Chest Pain and Primary Diagnosis of Non-Cardiac Pain at the Time of Discharge from Emergency Department: A 30-Days Prospective Study.Ethiopian journal of health sciences · 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
- Discharge against medical advice: a case study in a public teaching hospital in Tehran, Iran in 2012.Global journal of health science · 2013Article
- Reasons for Discharge against Medical Advice: A Case Study of Emergency Departments in Iran.International journal of health policy and management · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDischarge against medical advice (DAMA) is a relatively common problem worldwide. We sought to determine the prevalence of and reasons for DAMA among inpatients of our cardiac center.
methodsFrom a total of 20289 discharges from our cardiac teaching hospital, 992 (4.9%) patients at a minimum age of 18 years were cases of DAMA. After excluding 49 cases due to missing data, we retrospectively analyzed our prospectively collected data from 943 patients, who were DAMA cases. Patients' characteristics, including demographic details, reason for discharge, insurance status, and length of stay before discharge, were examined.
resultsThe mean age of the study patients was 60.7 ± 13.0 (range, 18-94 years) with a male-to-female ratio of 2.1/1. Lack of consent to surgery or other invasive procedures was the reason cited for DAMA in 31% of the patients, followed by personal or family issues (17%). No reason for DAMA was reported in 26 (2.8%) of the patients. Women compared to men were more likely to cite "lack of consent to surgery or invasive procedures" as the reason for DAMA (p value = 0.005), whereas men more prevalently stated "personal or family issues" as the reason for DAMA (18.7% vs. 12.7%, p value = 0.022).
conclusionThe most frequent self-reported reason for DAMA in our cardiac patients was lack of consent to surgery or invasive procedures. This may be because of fear of undergoing invasive procedures such as revascularization. Explaining the stages of a given invasive procedure to patients and comparing its risks versus benefits may lessen impulsive decision-making and DAMA.
Indexed as
Identifiers
23074641PMC3466903W2163030491What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.