ArticleInternational journal of critical illness and injury science
Prevalence of discharge against medical advice and its associated demographic predictors among pediatric patients: A cross-sectional study of Saudi Arabia.
Article in International journal of critical illness and injury science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 8 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
- Article
- Caregivers' reasons and health professionals' perceptions of pediatric discharge against medical advice in Eastern Ethiopia: a mixed-methods study.BMC pediatrics · 2025Article
- Pattern of admissions and outcome in the children emergency department of a tertiary health institution in Southwestern Nigeria: A four-year review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Discharge against medical advice in Special Care Newborn Unit in Chattogram, Bangladesh: Prevalence, causes and predictors.PloS one · 2023Article
- Incidence of patients leaving against medical advice in government-subsidized hospitals: a descriptive retrospective study.The Pan African medical journal · 2022Article
- Discharge against medical advice in pediatrics: a 10-year retrospective analysis in a tertiary care center.Annals of Saudi medicineArticle
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDischarge against medical advice (DAMA) occurs when the patient or their caretaker leaves the hospital against the recommendation of their treating physician. DAMA may expose the children to a high risk of inadequate treatment, which may result in readmission, prolonged morbidity, and mortality. The study aimed to identify the predictors of DAMA in the emergency department (ED) within the pediatric age group.
methodsThis was a cross-sectional study. The study used the medical records of pediatric patients (
resultsA significant interaction between age and gender was observed in the multivariate analysis after adjusting for the other covariates. The odds of DAMA for a 5-year-old female child were 4.43 times higher than those of a 5-year-old male child (
conclusionsThe public should be educated about the consequences of DAMA. Continued health education and the promotion of child survival strategies at the community level, combined with an improvement in the socioeconomic conditions of the population, may further reduce DAMA and improve the chances of survival for children. Future studies should assess the socioeconomic status of the patients and estimate the cost that is incurred by the patients.
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