Self-discharge against medical advice from tertiary health institution: A call for concern
| Autor: | Kehinde Sunday Oluwadiya, Sheriff Olawale Ogunlayi, Sunday Ogunsuyi Popoola, Johnson Dare Ogunlusi, Moruf Babatunde Yusuf, Waheed Olaide Babalola |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent MEDLINE Nigeria Hospitals University Treatment Refusal Young Adult Medical advice Health care medicine Humans Young adult Child Hospitals Teaching Road traffic Aged Aged 80 and over business.industry Against medical advice General Medicine Middle Aged Patient Discharge Child Preschool Family medicine University teaching business |
| Zdroj: | Nigerian Postgraduate Medical Journal. 24:174 |
| ISSN: | 1117-1936 |
| DOI: | 10.4103/npmj.npmj_88_17 |
| Popis: | Background: Self-discharge by patients without completing their treatment is a problematic issue in healthcare and is strongly associated with readmission and poor treatment outcome. Patients and Methods: A descriptive study of the rate and reasons why patients with limb injuries took self-discharge against medical advice (DAMA) from our facility, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria, a tertiary health institution between May 2011 and April 2014. Results: One hundred and thirty-one (16.2%) patients took DAMA out of 810 patients seen with limb injuries. Age ranges from 3 to 95 years with a mean of 36.31 ± 19.34 years. Road traffic crash accounted for 110 (84%) of the injuries. One hundred and sixteen (88.5%) had fractures and 9 (6.9%) had soft tissue injuries. Fifty-eight (44.3%) of the patients were referred cases, 128 (97.7%) signed DAMA form while 3 (2.3%) absconded from the hospital. Reasons for DAMA were mainly; belief more in traditional bone setters (TBSs) (36.6%); pressure from relations (22.9%) and high cost of hospital care (19.8%). One hundred and one (77.1%) of the patients volunteered that they were going to TBS for continued care. Conclusion: High percentage of patients DAMA from our facility and majority of them were in favour of unorthodox form of treatment. |
| Databáze: | OpenAIRE |
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