Araştırma Makalesi
BibTex RIS Kaynak Göster
Yıl 2021, Cilt: 5 Sayı: 5, 433 - 438, 01.05.2021
https://doi.org/10.28982/josam.907496

Öz

Kaynakça

  • 1. Ding R, Jung JJ, Kirsch TD, Levy F, McCarthy ML. Uncompleted emergency department care: patients who leave against medical advice. Acad Emerg Med. 2007;14(10):870-6. doi: 10.1197/j.aem.2007.06.027.
  • 2. Hwang SW, Li J, Gupta R, Chien V, Martin RE. What happens to patients who leave hospital against medical advice? CMAJ. 2003;168(4):417-20.
  • 3. Beauchamp TL, Childress JF. Principles of biomedical ethics. 5th ed. Oxford University Press, New York, USA; 2001.
  • 4. Link K, Brody C, Chan J. Leaving a medical service against advice. Va Med. 1983;110(2):100-2.
  • 5. Aliyu Z. Discharge against medical advice: sociodemographic, clinical and financial perspectives. Int J Clin Pract. 2002;56(5):325-7.
  • 6. Holden P, Vogtsberger KN, Mohl PC, Fuller DS. Patients who leave the hospital against medical advice: the role of the psychiatric consultant. Psychosomatics. 1989;30(4):396-404. doi: 10.1016/S0033-3182(89)72245-3.
  • 7. Baptist AP, Warrier I, Arora R, Ager J, Massanari RM. Hospitalized patients with asthma who leave against medical advice: characteristics, reasons, and outcomes. J Allergy Clin Immunol. 2007;119(4):924-9. doi: 10.1016/j.jaci.2006.11.695.
  • 8. Jeremiah J, O’Sullivan P, Stein MD. Who leaves against medical advice? J Gen Intern Med. 1995;10(7):403-5. doi: 10.1007/BF02599843.
  • 9. Boğan M, Karadağ M, Boğan F. Examination of emergency medicine physicians’ and residents’ Twitter activities during the first days of the COVID-19 outbreak. Int J Travel Med Glob Health. 2020;8(2):46-50. doi: 10.34172/IJTMGH.2020.08.
  • 10. Republic of Turkey Presidential Official Gazette. Ministry of Health notification: Yataklı sağlık tesislerinde acil servis hizmetlerinin uygulama usul ve esasları hakkında tebliğde değişiklik yapılmasına dair tebliğ. (in Turkish). Feb 20, 2018, numbered 30338. Accessed: December 20, 2020: https://www.resmigazete.gov.tr/eskiler/2018/02/20180220-4.htm.
  • 11. Henson VL, Vickery DS. Patient self discharge from the emergency department: who is at risk? Emerg Med J. 2005;22(7):499-501. doi: 10.1136/emj.2003.005447.
  • 12. Ibrahim SA, Kwoh CK, Krishnan E. Factors associated with patients who leave acute-care hospitals against medical advice. Am J Public Health. 2007;97(12):2204-8. doi: 10.2105/AJPH.2006.100164.
  • 13. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict. 2020;1-9. doi: 10.1007/s11469-020-00270-8.
  • 14. Bavel JJV, Baicker K, Boggio PS, Capraro V, Cichocka A, Cikara M, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4(5):460-71. doi: 10.1038/s41562-020-0884-z.
  • 15. Albitar O, Ballouze R, Ooi JP, Sheikh Ghadzi SM. Risk factors for mortality among COVID-19 patients. Diabetes Res Clin Pract. 2020;166:108293. doi: 10.1016/j.diabres.2020.108293.
  • 16. Bertsimas D, Lukin G, Mingardi L, Nohadani O, Orfanoudaki A, Stellato B, et al. COVID-19 mortality risk assessment: An international multi-center study. PLoS One. 2020;15(12):e0243262. doi: 10.1371/journal.pone.0243262.
  • 17. Wynants L, Van Calster B, Collins GS, Riley RD, Heinze G, Schuit E, et al. Prediction models for diagnosis and prognosis of covid-19 infection: systematic review and critical appraisal. BMJ. 2020;369:m1328. doi: 10.1136/bmj.m1328.
  • 18. Zengin S, Avcı S, Yılmaz S. Clinical and basic cardiovascular features of patients with COVID-19 admitted to a tertiary care center in Turkey. J Surg Med. 2020;4(5):367-70. doi: 10.28982/josam.727935.
  • 19. Spooner KK, Salemi JL, Salihu HM, Zoorob RJ. Discharge Against Medical Advice in the United States, 2002-2011. Mayo Clin Proc. 2017;92(4):525-35. doi: 10.1016/j.mayocp.2016.12.022.
  • 20. Noohi K, Komsari S, Nakhaee N, Yazdi Feyzabadi V. Reasons for Discharge against Medical Advice: A Case Study of Emergency Departments in Iran. Int J Health Policy Manag. 2013;1(2):137-42. doi: 10.15171/ijhpm.2013.25.
  • 21. Eze B, Agu K, Nwosu J. Discharge against medical advice at a tertiary center in southeastern Nigeria: sociodemographic and clinical dimensions. Patient Intelligence. 2010;2:27-31. doi: 10.2147/PI.S11337.
  • 22. Jerrard DA, Chasm RM. Patients leaving against medical advice (AMA) from the emergency department-disease prevalence and willingness to return. J Emerg Med. 2011;41(4):412-7. doi: 10.1016/j.jemermed.2009.10.022.
  • 23. Sayed ME, Jabbour E, Maatouk A, Bachir R, Dagher GA. Discharge Against Medical Advice From the Emergency Department: Results From a Tertiary Care Hospital in Beirut, Lebanon. Medicine (Baltimore). 2016;95(6):e2788. doi: 10.1097/MD.0000000000002788.
  • 24. Nasir AA, Babalola OM. Clinical spectrum of discharges against medical advice in a developing country. Indian J Surg. 2008;70(2):68-72. doi: 10.1007/s12262-008-0018-8.
  • 25. Pathy R, Mills KE, Gazeley S, Ridgley A, Kiran T. Health is a spiritual thing: perspectives of health care professionals and female Somali and Bangladeshi women on the health impacts of fasting during Ramadan. Ethn Health. 2011;16(1):43-56. doi: 10.1080/13557858.2010.523780.
  • 26. Christian MD. Triage. Crit Care Clin. 2019;35(4):575-89. doi: 10.1016/j.ccc.2019.06.009.
  • 27. van der Linden MC, Meester BE, van der Linden N. Emergency department crowding affects triage processes. Int Emerg Nurs. 2016;29:27-31. doi: 10.1016/j.ienj.2016.02.003.
  • 28. Ilhan B, Kunt MM, Damarsoy FF, Demir MC, Aksu NM. NEDOCS: is it really useful for detecting emergency department overcrowding today?. Medicine (Baltimore). 2020;99(28):e20478. doi: 10.1097/MD.0000000000020478.
  • 29. Shirani F, Jalili M, Asl-E-Soleimani H. Discharge against medical advice from emergency department: results from a tertiary care hospital in Tehran, Iran. Eur J Emerg Med. 2010;17(6):318-21. doi: 10.1097/MEJ.0b013e3283334ef1.

The pandemic’s effect on discharge against medical advice from the emergency department

Yıl 2021, Cilt: 5 Sayı: 5, 433 - 438, 01.05.2021
https://doi.org/10.28982/josam.907496

Öz

Background/Aim: Reasons for discharge against medical advice (DAMA) may vary according to countries' conditions and environmental or individual factors. Patients who choose to leave the hospital against the doctors’ recommendations are at risk of inadequate treatment and increased rehospitalization risk. The COVID-19 disease has come to the fore with a pandemic and the atmosphere of fear and panic it creates. We aimed to investigate the effect of fear of the pandemic on DAMA.
Methods: This study was conducted in the emergency department (ED) of a tertiary hospital in Turkey. The characteristics of all patients who were discharged against medical advice and their reasons over six months at the beginning of the pandemic were examined prospectively.
Results: A total of 263 patients left the ED on various excuses against medical advice between February 6-August 31, 2020 (DAMA rate: 2.4‰). The most common complaint of patients discharged against medical advice was abdominal pain (27%). The top 3 most common causes of DAMA were the fear of being infected by COVID-19 (36.5%), the thought of being neglected (12.2%), and the month of Ramadan (11.4%).
Conclusion: The pandemic is an important reason for DAMA. Patients leave the hospital against medical advice with an avoidance-avoidance conflict during the COVID-19 pandemic. Defining dirty and clean areas within the emergency services with sharp boundaries and informing patients may prevent DAMA due to the fear of being infected with COVID-19. Physicians do not ignore the risk of progression to worse clinical outcomes in patients who discontinue treatment due to the pandemic.

Kaynakça

  • 1. Ding R, Jung JJ, Kirsch TD, Levy F, McCarthy ML. Uncompleted emergency department care: patients who leave against medical advice. Acad Emerg Med. 2007;14(10):870-6. doi: 10.1197/j.aem.2007.06.027.
  • 2. Hwang SW, Li J, Gupta R, Chien V, Martin RE. What happens to patients who leave hospital against medical advice? CMAJ. 2003;168(4):417-20.
  • 3. Beauchamp TL, Childress JF. Principles of biomedical ethics. 5th ed. Oxford University Press, New York, USA; 2001.
  • 4. Link K, Brody C, Chan J. Leaving a medical service against advice. Va Med. 1983;110(2):100-2.
  • 5. Aliyu Z. Discharge against medical advice: sociodemographic, clinical and financial perspectives. Int J Clin Pract. 2002;56(5):325-7.
  • 6. Holden P, Vogtsberger KN, Mohl PC, Fuller DS. Patients who leave the hospital against medical advice: the role of the psychiatric consultant. Psychosomatics. 1989;30(4):396-404. doi: 10.1016/S0033-3182(89)72245-3.
  • 7. Baptist AP, Warrier I, Arora R, Ager J, Massanari RM. Hospitalized patients with asthma who leave against medical advice: characteristics, reasons, and outcomes. J Allergy Clin Immunol. 2007;119(4):924-9. doi: 10.1016/j.jaci.2006.11.695.
  • 8. Jeremiah J, O’Sullivan P, Stein MD. Who leaves against medical advice? J Gen Intern Med. 1995;10(7):403-5. doi: 10.1007/BF02599843.
  • 9. Boğan M, Karadağ M, Boğan F. Examination of emergency medicine physicians’ and residents’ Twitter activities during the first days of the COVID-19 outbreak. Int J Travel Med Glob Health. 2020;8(2):46-50. doi: 10.34172/IJTMGH.2020.08.
  • 10. Republic of Turkey Presidential Official Gazette. Ministry of Health notification: Yataklı sağlık tesislerinde acil servis hizmetlerinin uygulama usul ve esasları hakkında tebliğde değişiklik yapılmasına dair tebliğ. (in Turkish). Feb 20, 2018, numbered 30338. Accessed: December 20, 2020: https://www.resmigazete.gov.tr/eskiler/2018/02/20180220-4.htm.
  • 11. Henson VL, Vickery DS. Patient self discharge from the emergency department: who is at risk? Emerg Med J. 2005;22(7):499-501. doi: 10.1136/emj.2003.005447.
  • 12. Ibrahim SA, Kwoh CK, Krishnan E. Factors associated with patients who leave acute-care hospitals against medical advice. Am J Public Health. 2007;97(12):2204-8. doi: 10.2105/AJPH.2006.100164.
  • 13. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict. 2020;1-9. doi: 10.1007/s11469-020-00270-8.
  • 14. Bavel JJV, Baicker K, Boggio PS, Capraro V, Cichocka A, Cikara M, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4(5):460-71. doi: 10.1038/s41562-020-0884-z.
  • 15. Albitar O, Ballouze R, Ooi JP, Sheikh Ghadzi SM. Risk factors for mortality among COVID-19 patients. Diabetes Res Clin Pract. 2020;166:108293. doi: 10.1016/j.diabres.2020.108293.
  • 16. Bertsimas D, Lukin G, Mingardi L, Nohadani O, Orfanoudaki A, Stellato B, et al. COVID-19 mortality risk assessment: An international multi-center study. PLoS One. 2020;15(12):e0243262. doi: 10.1371/journal.pone.0243262.
  • 17. Wynants L, Van Calster B, Collins GS, Riley RD, Heinze G, Schuit E, et al. Prediction models for diagnosis and prognosis of covid-19 infection: systematic review and critical appraisal. BMJ. 2020;369:m1328. doi: 10.1136/bmj.m1328.
  • 18. Zengin S, Avcı S, Yılmaz S. Clinical and basic cardiovascular features of patients with COVID-19 admitted to a tertiary care center in Turkey. J Surg Med. 2020;4(5):367-70. doi: 10.28982/josam.727935.
  • 19. Spooner KK, Salemi JL, Salihu HM, Zoorob RJ. Discharge Against Medical Advice in the United States, 2002-2011. Mayo Clin Proc. 2017;92(4):525-35. doi: 10.1016/j.mayocp.2016.12.022.
  • 20. Noohi K, Komsari S, Nakhaee N, Yazdi Feyzabadi V. Reasons for Discharge against Medical Advice: A Case Study of Emergency Departments in Iran. Int J Health Policy Manag. 2013;1(2):137-42. doi: 10.15171/ijhpm.2013.25.
  • 21. Eze B, Agu K, Nwosu J. Discharge against medical advice at a tertiary center in southeastern Nigeria: sociodemographic and clinical dimensions. Patient Intelligence. 2010;2:27-31. doi: 10.2147/PI.S11337.
  • 22. Jerrard DA, Chasm RM. Patients leaving against medical advice (AMA) from the emergency department-disease prevalence and willingness to return. J Emerg Med. 2011;41(4):412-7. doi: 10.1016/j.jemermed.2009.10.022.
  • 23. Sayed ME, Jabbour E, Maatouk A, Bachir R, Dagher GA. Discharge Against Medical Advice From the Emergency Department: Results From a Tertiary Care Hospital in Beirut, Lebanon. Medicine (Baltimore). 2016;95(6):e2788. doi: 10.1097/MD.0000000000002788.
  • 24. Nasir AA, Babalola OM. Clinical spectrum of discharges against medical advice in a developing country. Indian J Surg. 2008;70(2):68-72. doi: 10.1007/s12262-008-0018-8.
  • 25. Pathy R, Mills KE, Gazeley S, Ridgley A, Kiran T. Health is a spiritual thing: perspectives of health care professionals and female Somali and Bangladeshi women on the health impacts of fasting during Ramadan. Ethn Health. 2011;16(1):43-56. doi: 10.1080/13557858.2010.523780.
  • 26. Christian MD. Triage. Crit Care Clin. 2019;35(4):575-89. doi: 10.1016/j.ccc.2019.06.009.
  • 27. van der Linden MC, Meester BE, van der Linden N. Emergency department crowding affects triage processes. Int Emerg Nurs. 2016;29:27-31. doi: 10.1016/j.ienj.2016.02.003.
  • 28. Ilhan B, Kunt MM, Damarsoy FF, Demir MC, Aksu NM. NEDOCS: is it really useful for detecting emergency department overcrowding today?. Medicine (Baltimore). 2020;99(28):e20478. doi: 10.1097/MD.0000000000020478.
  • 29. Shirani F, Jalili M, Asl-E-Soleimani H. Discharge against medical advice from emergency department: results from a tertiary care hospital in Tehran, Iran. Eur J Emerg Med. 2010;17(6):318-21. doi: 10.1097/MEJ.0b013e3283334ef1.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Araştırma makalesi
Yazarlar

Mehmet Cihat Demir 0000-0002-0106-3383

İlter Ağaçkıran 0000-0003-4859-2220

Yasemin Özdamar 0000-0002-6529-5028

Mustafa Boğan 0000-0002-3238-1827

Yayımlanma Tarihi 1 Mayıs 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 5 Sayı: 5

Kaynak Göster

APA Demir, M. C., Ağaçkıran, İ., Özdamar, Y., Boğan, M. (2021). The pandemic’s effect on discharge against medical advice from the emergency department. Journal of Surgery and Medicine, 5(5), 433-438. https://doi.org/10.28982/josam.907496
AMA Demir MC, Ağaçkıran İ, Özdamar Y, Boğan M. The pandemic’s effect on discharge against medical advice from the emergency department. J Surg Med. Mayıs 2021;5(5):433-438. doi:10.28982/josam.907496
Chicago Demir, Mehmet Cihat, İlter Ağaçkıran, Yasemin Özdamar, ve Mustafa Boğan. “The pandemic’s Effect on Discharge Against Medical Advice from the Emergency Department”. Journal of Surgery and Medicine 5, sy. 5 (Mayıs 2021): 433-38. https://doi.org/10.28982/josam.907496.
EndNote Demir MC, Ağaçkıran İ, Özdamar Y, Boğan M (01 Mayıs 2021) The pandemic’s effect on discharge against medical advice from the emergency department. Journal of Surgery and Medicine 5 5 433–438.
IEEE M. C. Demir, İ. Ağaçkıran, Y. Özdamar, ve M. Boğan, “The pandemic’s effect on discharge against medical advice from the emergency department”, J Surg Med, c. 5, sy. 5, ss. 433–438, 2021, doi: 10.28982/josam.907496.
ISNAD Demir, Mehmet Cihat vd. “The pandemic’s Effect on Discharge Against Medical Advice from the Emergency Department”. Journal of Surgery and Medicine 5/5 (Mayıs 2021), 433-438. https://doi.org/10.28982/josam.907496.
JAMA Demir MC, Ağaçkıran İ, Özdamar Y, Boğan M. The pandemic’s effect on discharge against medical advice from the emergency department. J Surg Med. 2021;5:433–438.
MLA Demir, Mehmet Cihat vd. “The pandemic’s Effect on Discharge Against Medical Advice from the Emergency Department”. Journal of Surgery and Medicine, c. 5, sy. 5, 2021, ss. 433-8, doi:10.28982/josam.907496.
Vancouver Demir MC, Ağaçkıran İ, Özdamar Y, Boğan M. The pandemic’s effect on discharge against medical advice from the emergency department. J Surg Med. 2021;5(5):433-8.