Discharge against medical advice from the emergency department
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 s...
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2016
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| Online Access: | http://hdl.handle.net/10725/14062 https://doi.org/10.1097/MD.0000000000002788 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753933/ |
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| _version_ | 1864513468855484416 |
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| author | El Sayed, Mazen |
| author2 | Jabbour, Elsy Maatouk, Ali Bachir, Rana |
| author2_role | author author author |
| author_facet | El Sayed, Mazen Jabbour, Elsy Maatouk, Ali Bachir, Rana |
| author_role | author |
| dc.creator.none.fl_str_mv | El Sayed, Mazen Jabbour, Elsy Maatouk, Ali Bachir, Rana |
| dc.date.none.fl_str_mv | 2016 2022-10-14T09:01:53Z 2022-10-14T09:01:53Z 2022-10-14 |
| dc.identifier.none.fl_str_mv | 0025-7974 http://hdl.handle.net/10725/14062 https://doi.org/10.1097/MD.0000000000002788 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. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753933/ |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | Medicine |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Discharge against medical advice from the emergency department |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | 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). |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_a082d9d604d37feeae17dd7c92980f49 |
| identifier_str_mv | 0025-7974 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. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/14062 |
| publishDate | 2016 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Discharge against medical advice from the emergency departmentEl Sayed, MazenJabbour, ElsyMaatouk, AliBachir, RanaPatients 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).Published2022-10-14T09:01:53Z2022-10-14T09:01:53Z20162022-10-14Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article0025-7974http://hdl.handle.net/10725/14062https://doi.org/10.1097/MD.0000000000002788El 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.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753933/enMedicineinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/140622022-10-14T09:06:17Z |
| spellingShingle | Discharge against medical advice from the emergency department El Sayed, Mazen |
| status_str | publishedVersion |
| title | Discharge against medical advice from the emergency department |
| title_full | Discharge against medical advice from the emergency department |
| title_fullStr | Discharge against medical advice from the emergency department |
| title_full_unstemmed | Discharge against medical advice from the emergency department |
| title_short | Discharge against medical advice from the emergency department |
| title_sort | Discharge against medical advice from the emergency department |
| url | http://hdl.handle.net/10725/14062 https://doi.org/10.1097/MD.0000000000002788 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753933/ |