ReviewIranian journal of public health2015
Rate and Causes of Discharge against Medical Advice in Iranian Hospitals: A Systematic Review and Meta-Analysis.
Review in Iranian journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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
16 citing papers in PubMed, 37 citations in OpenAlex.
- Magnitude and associated factors of discharge against medical advice among patients treated in the adult Emergency Department at an Ethiopian University Hospital.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Exploratory laparotomy during the battle of Mosul, 2016-2017: results from a tertiary civilian hospital in Erbil, Iraqi Kurdistan.BMC emergency medicine · 2023Article
- Discharge against medical advice in Special Care Newborn Unit in Chattogram, Bangladesh: Prevalence, causes and predictors.PloS one · 2023Article
- Causes and Predictors of 30-Day Readmission in Elderly Patients With Delirium.Neurology. Clinical practice · 2021Article
- 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
- Effects of Iranian healthcare transformation plan on discharge against medical advice rate and related factors in 2012 and 2016.BMJ open · 2019Article
- Assessing the Quality of Educational Services of Iranian Universities of Medical Sciences Based on the SERVQUAL Evaluation Model: A Systematic Review and Meta-Analysis.Iranian journal of medical sciences · 2019Article
- Effect of Kangaroo Mother Care on hospital management indicators: A systematic review and meta-analysis of randomized controlled trials.Journal of education and health promotion · 2019Review
- 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
- Pattern and outcomes of paediatric medical admissions at the Living Word Mission Hospital, Aba, South East Nigeria.The Pan African medical journal · 2018Article
- The Prevalence of Malnutrition in Iranian Elderly: A Review Article.Iranian journal of public health · 2017Review
- Prevalence of Congenital Anomalies in Iran: A Review Article.Iranian journal of public health · 2017Review
- The Quality of Educational Services from Students' Viewpoint in Iran: A Systematic Review and Meta-analysis.Iranian journal of public health · 2017Review
- Discharge against Medical Advice at Neonatal Intensive Care Unit in Gujarat, India.International journal of pediatrics · 2016Article
- Discharge against medical advice in pediatrics: a 10-year retrospective analysis in a tertiary care center.Annals of Saudi medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDischarge against Medical Advice (DAMA) is a problem for hospitals which may result in increasing readmissions, morbidities, inabilities, deaths and health care costs. This study, aimed to investigate the rate and causes of DAMA in Iranian hospitals.
methodsA systematic review and meta-analysis study was conducted in 2014. Required data were collected through searching for key words included: "Discharge Against Medical Advice", "Leaving against medical advice", "causes*", "hospital" and their Persian equivalents, over databases including PubMed, OVID, Google Scholar, Embase, Scopus, Magiran, scientific information database (SID). The reference lists of the articles, certain relevant journals and web sites in this field were also searched.
resultsOut of 913 articles initially retrieved, finally 17 articles were incorporated into the study. There were 244858 individuals studied in the articles. Using a random effects model, the rate of DAMA in Iranian hospitals was estimated at 7.9% (6.3%-9.8%). While the highest rate of DAMA was associated with patients in departments of psychiatry (12%), the lowest rate was related to patients in departments of pediatrics (3.7). DAMA was in men more than women (P<0.05) Patient's perception of feeling of wellbeing, financial problems, family problems, the lack of attention from physicians and nurses, inappropriate behavior with patients by hospital team and the lack of timely care were mentioned as main causes for DAMA.
conclusionThe rate of DAMA in Iranian hospitals is relatively high. Thus effective initiatives in this area are required.
Indexed as
Identifiers
26576368PMC4645761W1825970004What 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.