Predictors of discharge against medical advice in adult trauma patients.
作者： Nathan Jasperse , Areg Grigorian , Patrick Delaplain , Zeljka Jutric , Sebastian D. Schubl
DOI: 10.1016/J.SURGE.2019.04.001
关键词: Medicine 、 Against medical advice 、 Male gender 、 Mechanism of injury 、 Logistic regression 、 Emergency medicine 、 Trauma quality improvement program
摘要: Abstract Background Patients who leave against medical advice (AMA) have higher readmission rates and mortality. However, little is known about the characteristics of trauma patients that AMA. The purpose this study was to identify predictors for leaving AMA in adult patients. Methods Trauma Quality Improvement Program database queried between 2010 2016 ≥18 years age presenting after trauma. Two groups were compared: those left did not. Bivariate analysis using Chi-squared Mann–Whitney U tests performed. A multivariable logistic regression performed Results Of 1,403,466 identified, 10,659 (0.76%) younger (median age, 48 vs. 53 years-old, p Conclusion In patients, male gender, stab mechanism injury, being uninsured, alcohol/drug use strong risk factors identified may help developing strategies aimed at preventing from
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