ArticleSocial psychiatry and psychiatric epidemiology2019
Impact of personality disorders on leaving hospital against medical advice among people living with HIV in British Columbia, Canada.
Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Factors Contributing to Leaving against Medical Advice (LAMA): A Consideration of the Patients' Perspective.Healthcare (Basel, Switzerland) · 2023Article
- Incidence of patients leaving against medical advice in government-subsidized hospitals: a descriptive retrospective study.The Pan African medical journal · 2022Article
- Incidence and temporal trends of co-occurring personality disorder diagnoses in immune-mediated inflammatory diseases.Epidemiology and psychiatric sciences · 2020Article
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Authors and funding
9 authors.
Funding
Abstract
purposeLeaving hospital against medical advice (AMA) is a significant source of morbidity, mortality, and a major burden to the healthcare system. Studies have indicated that marginalized populations, including people living with HIV (PLHIV) and those living with a personality disorder (PD), experience high hospitalization rates. We sought to identify whether being diagnosed with a PD was associated with leaving hospital AMA among PLHIV in British Columbia (BC), Canada.
methodsData were derived from the STOP HIV/AIDS in BC cohort, a provincial-level linkage of a series of surveillance, laboratory, and health administrative databases of all identified PLHIV in BC. Using multivariable generalized estimating equations (GEE), we examined the relationship between diagnoses of PD and premature hospital discharge among PLHIV.
resultsAmong 8763 PLHIV included in the study sample, 1321 (15%) were diagnosed with a PD. The prevalence of leaving hospital AMA at least once during the study period was 9%. In multivariable GEE analyses, after adjusting for a range of demographic and clinical confounders, there remained a positive association between being diagnosed with a PD and leaving hospital prematurely. Results showed a significant and independent association between a PD diagnosis and leaving AMA among PLHIV.
conclusionsThese findings underscore the importance of identifying and addressing specific PD-related behaviour which negatively impact inpatient treatment completion among this subpopulation of PLHIV. Furthermore, these findings suggest a need to develop novel health system interventions to minimize AMA discharge among this population.
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