ArticlePediatric health, medicine and therapeutics2020
Discharge Against Medical Advice from NICU in a Tertiary Hospital of Central Nepal: A Descriptive Cross-Sectional Study.
Article in Pediatric health, medicine and therapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- 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
- Article
- Newborn morbidities and care procedures at the special newborn care units of Gandaki Province, Nepal: a retrospective study.BMC pregnancy and childbirth · 2024Article
- Leave Against Medical Advice among Neonates Admitted to Neonatal Intensive Care Unit in a Tertiary Care Centre: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2023Article
- Discharge against medical advice in Special Care Newborn Unit in Chattogram, Bangladesh: Prevalence, causes and predictors.PloS one · 2023Article
- Discharge against medical advice among infants with 24-31 weeks' gestation admitted to Chinese neonatal intensive care units: A multicenter cohort study.Frontiers in pediatrics · 2022Article
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2 authors.
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Abstract
purposeDischarge against medical advice (DAMA), leave against medical advice (LAMA), and self discharge have been used in similar circumstances to mean abandoning the physician's advice and deciding to leave the hospital abruptly without caring about possible outcomes. It is a sensitive issue common in NICUs across the developing world. To decrease NMR and under-5 mortality further, it is important to explore the factors leading to DAMA. Hence, this study aims to find the prevalence of DAMA, its causes, and related socio-demographic factors. PATIENTS AND
methodsA cross-sectional descriptive study was conducted in the NICU of College of Medical Sciences Teaching Hospital located in central Nepal from June 2019 to May 2020. Out of 110 cases of DAMA during the study period, 105 cases gave consent to participate in the study. Medical data were recorded from patient records followed by filling out of a semi-structured questionnaire by parents of the patients.
resultsOut of 611 cases admitted to the NICU during the study period, 110 neonates (18%) were self-discharged. The leading cause for parents to take such a decision was poor financial condition (58%), followed by lack of improvement (21%).
conclusionThe study showed that DAMA in the NICU was 18%. Poor financial condition followed by lack of improvement in patient's condition were the main reasons for self-discharge.
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