Discharge Against Medical Advice After Percutaneous Coronary Intervention in the United States

作者: Chun Shing Kwok , Malcolm Bell , H. Vernon Anderson , Khaled Al Shaibi , Rajiv Gulati

DOI: 10.1016/J.JCIN.2018.03.049

关键词: Against medical advicePsychological interventionConventional PCIEmergency medicineLogistic regressionClinical endpointPercutaneous coronary interventionDescriptive statisticsMedicineContext (language use)

摘要: Abstract Objectives This study aimed to evaluate discharge against medical advice (DAMA) in percutaneous coronary intervention (PCI) and how DAMA affects readmissions. Background is infrequent but associated with poor patient outcomes. the context of PCI has not been described published reports. Methods The authors analyzed patients Nationwide Readmission Database between 2010 2014 a procedure who were either discharged home or advice. primary endpoint was all-cause 30-day readmissions their causes. Descriptive statistics used compare home, multiple logistic regressions determine characteristics readmission. Results Among 2,021,104 analysis, proportion 0.5% (n = 10,049). readmission rate for those 16.8% 8.5%, respectively (p  Conclusions occurs approximately following strongly within 30 days. Interventions should be developed reduce high-risk groups initiate interventions avoid complications when it occurs.

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