Discharge against medical advice from the emergency department

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dc.contributor.author El Sayed, Mazen
dc.contributor.author Jabbour, Elsy
dc.contributor.author Maatouk, Ali
dc.contributor.author Bachir, Rana
dc.date.accessioned 2022-10-14T09:01:53Z
dc.date.available 2022-10-14T09:01:53Z
dc.date.copyright 2016 en_US
dc.date.issued 2022-10-14
dc.identifier.issn 0025-7974 en_US
dc.identifier.uri http://hdl.handle.net/10725/14062
dc.description.abstract Patients who leave the emergency department against medical advice are at high risk for complications. Against medical advice (AMA) discharges are also considered high-risk events potentially leading to malpractice litigation.Our aim was to characterize patients who leave AMA in a payment prior to service emergency department (ED) model and to identify predictors for return visits to ED after leaving AMA.We conducted a retrospective review study of charts of ED patients who were discharged AMA between January 1, 2012 and January 1, 2013 at a tertiary care center in Beirut Lebanon. We carried out a descriptive analysis and a bivariate analysis comparing AMA patients without and with return visit within 72 hours. This was followed by a Logistic regression to identify predictors of return visits after leaving AMA.A total of 1213 ED patients were discharged AMA during the study period. Mean age was 46.9 years (±20.9). There were 654 men (53.9%), 737 married (60.8%). The majority (1059 patients (87.3%)) had an emergency severity index of 3 or less (1 or 2). ED average length of stay was 3.8 hours (±6.8).
dc.language.iso en en_US
dc.title Discharge against medical advice from the emergency department en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 201805248 en_US
dc.author.department N/A en_US
dc.relation.journal Medicine en_US
dc.journal.volume 95 en_US
dc.journal.issue 6 en_US
dc.article.pages e2788 en_US
dc.identifier.doi https://doi.org/10.1097/MD.0000000000002788 en_US
dc.identifier.ctation El Sayed, M., Jabbour, E., Maatouk, A., Bachir, R., & Abou Dagher, G. (2016). Discharge Against Medical Advice From the Emergency Department: Results From a Tertiary Care Hospital in Beirut, Lebanon. Medicine, 95(6), e2788. en_US
dc.author.email elsy.jabbour@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753933/ en_US
dc.author.affiliation Lebanese American University en_US

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