ArticleSultan Qaboos University medical journal2013
Discharge against Medical Advice among Children in Oman: A university hospital experience.
Article in Sultan Qaboos University medical journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 15 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
- Did Child Neglect Cause Severe Injuries in Nine Children?: Case series from a regional hospital in Oman.Sultan Qaboos University medical journal · 2023Article
- The Emergence of Child Protection Capacities in Oman: Lessons learned.Sultan Qaboos University medical journal · 2021Review
- Child Maltreatment Prevention Readiness Assessment in Oman.Sultan Qaboos University medical journal · 2020Article
- Factors influencing discharge against medical advice (DAMA) cases at a multispecialty hospital.Journal of family medicine and primary care · 2019Article
- Effects of Iranian healthcare transformation plan on discharge against medical advice rate and related factors in 2012 and 2016.BMJ open · 2019Article
- [Concerns about neonates discharged against medical advice from the neonatal intensive care unit].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2017Review
- Prevalence of and Reasons for Patients Leaving Against Medical Advice from Paediatric Wards in Oman.Sultan Qaboos University medical 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
- Prevalence of discharge against medical advice and its associated demographic predictors among pediatric patients: A cross-sectional study of Saudi Arabia.International journal of critical illness and injury scienceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesDischarge against medical advice (DAMA) is a major problem in healthcare delivery as it can complicate the health problems from which patients are suffering. The aim of this study was to understand DAMA among children in a tertiary teaching hospital in Oman and to evaluate the documentation of the events in the medical records.
methodsA retrospective survey of the medical records of patients discharged against medical advice over a two-year interval was performed (2004-2006).
resultsOf the 11,802 admissions, there were 38 cases of DAMA, giving a prevalence rate of 0.32%. In 39.5% of the cases, the discharge happened within 24 hours of hospital admission. The majority of the cases were infants (n = 24; 63.25%). The diagnosis at discharge in some cases included life-threatening conditions. However, in 57.9% of the cases, the reasons for DAMA were neither reported nor documented in the patients' medical records.
conclusionAlthough the results of this study yielded a low prevalence rate compared to the rates reported in other studies, the occurrence of DAMA for children in a tertiary hospital is a distressing phenomenon. It was evident that the documentation of the DAMA process was poor. More studies should be conducted to understand the details of the problem. Policies should be established and implemented in order to attempt to reduce DAMA among child patients and to protect them from the consequences of such discharges.
Indexed as
Identifiers
What 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.