ArticleCureus2025
Discharge Against Medical Advice From the Emergency Department: Results From a Private Hospital in Beirut.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
6 authors.
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Abstract
introductionDischarge against medical advice (AMA) is a common problem worldwide. These patients experience higher mortality rates in the following month and higher Emergency Department (ED) revisit rates. This study examines the characteristics, reasons, and clinical outcomes of the patients leaving the ED AMA.
methodsThis is a cross-sectional study conducted at the ED of the Lebanese American University Medical Center from 2019 to 2022.
resultsOver the four years, 42,672 patients have presented to the ED. Among them, 2,767 have left AMA (6.4%). The numbers varied among the years, from 477 (3.6%) in 2019, going up to 751 (7%) in 2020, then to 907 (10%) in 2021, and 632 (5.8%) in 2022. Many reasons were found. The most common reason for leaving AMA was the financial coverage, which accounted for 1442 cases (52%). Other common causes were the COVID-19 isolation cost (started in 2020) with 677 cases (24.5%), cold cases referred to clinics (301 cases; 10.9%), and the long waiting time for a bed being available (284 cases; 10.3%). Other causes were only 63 (2.3%).
conclusionDischarge AMA varies from one ED to another but is mainly linked to the economic situation in the country, the financial coverage of the population, and the system within the hospital. Interventions at a larger scale shall be conducted to reduce the rate of its occurrence.
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