Abstract
A paucity of data exists on the prevalence and predictors of discharging injured patients against medical advice from emergency departments. The aim of this study is to investigate the association between acute alcohol use and being discharged against medical advice. We performed a prospective, observational study of injured patients enrolled into the Korean Centers for Disease and Prevention injury surveillance program in 7 tertiary, academic, and teaching hospitals from June 1, 2008, to November 31, 2011. Injured patients were assigned to 1 of 3 groups: discharged against medical advice, regular discharge, and transferred or admitted. Multivariable logistic regression models were used to analyze the association between acute alcohol use and being discharged against medical advice. A total of 125,327 patients were enrolled, and 3473 (2.8%) were discharged against medical advice. The proportion of acute alcohol use was significantly higher among the patients who were discharged against medical advice (40.1%) than the regular discharged (16.6%) or transferred/admitted (15.5%) patients. In a regression model, acute alcohol use increased the risk of being discharged against medical advice (adjusted odds ratio, 1.86; 95% confidence...Continue Reading
References
Jul 1, 1995·Journal of General Internal Medicine·J JeremiahM D Stein
Jul 11, 2002·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Michalis P Charalambous
May 29, 2004·Alcoholism, Clinical and Experimental Research·Cheryl J CherpitelHolly C Wilcox
Jun 29, 2005·Emergency Medicine Journal : EMJ·V L Henson, D S Vickery
Jul 28, 2006·Psychiatric Services : a Journal of the American Psychiatric Association·Michael BrookMark A Frye
Apr 25, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jaiyong KimKyoung Jun Song
Jan 26, 2010·The Journal of Emergency Medicine·David A Jerrard, Rose M Chasm
Apr 29, 2010·Journal of General Internal Medicine·Justin M GlasgowPeter J Kaboli
May 26, 2011·The Journal of Trauma·Hwan KimDeirdre Dawson
Sep 21, 2011·PloS One·Mark ChoiAnita Palepu
Apr 20, 2012·The American Journal of Medicine·William N SouthernJulia H Arnsten
Feb 19, 2013·The American Journal on Addictions·Cheryl J CherpitelRob Stenstrom
Mar 7, 2013·Internal Medicine Journal·T Y YongJ Y Li
May 2, 2013·BMJ Open·Sungsoo ChunMieun Yun
Aug 28, 2013·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Allan GarlandAllen Kraut
Oct 15, 2013·BMC Health Services Research·Allen KrautAllan Garland
Nov 13, 2013·JAMA : the Journal of the American Medical Association·David Alfandre, John Henning Schumann
Citations
Jan 13, 2019·BMC Emergency Medicine·Odd Martin VallersnesMette Brekke
May 4, 2020·Digestive Diseases and Sciences·Olalekan AkanbiPraneeth Kudaravalli
Nov 11, 2019·The American Journal of Emergency Medicine·Catherine A MarcoMitchell Weeman
Jan 12, 2021·The American Journal of Emergency Medicine·Catherine A MarcoBrian Patrick Murray
Mar 3, 2021·The Journal of Emergency Medicine·Merav Ben NatanNimrod Goldschmid
May 18, 2019·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Rahul A Pandit, Atul P Kulkarni
May 18, 2019·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Rubina K MahajanRamit Mahajan