Discharges 'Against Medical Advice' in Patients With Opioid-related Hospitalizations
Autor: | Charles J Santos, Jeanmarie Perrone, Margaret Lowenstein, Frances S. Shofer |
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Rok vydání: | 2020 |
Předmět: |
Adult
medicine.medical_specialty Logistic regression Treatment Refusal symbols.namesake Risk Factors Internal medicine parasitic diseases medicine Humans Pharmacology (medical) Dosing Fisher's exact test Retrospective Studies business.industry Patient Discharge Analgesics Opioid Hospitalization Psychiatry and Mental health Opioid Cohort symbols Analysis of variance business Buprenorphine medicine.drug Methadone |
Zdroj: | Journal of Addiction Medicine. 15:49-54 |
ISSN: | 1935-3227 1932-0620 |
DOI: | 10.1097/adm.0000000000000688 |
Popis: | OBJECTIVES We performed a descriptive analysis of patient and treatment characteristics in premature discharges "against medical advice" (AMA) in a cohort of patients with opioid-related hospitalizations. METHODS We abstracted data from 1152 opioid related hospitalizations of 928 adult patients in a large academic health system. Using electronic health record data, hospitalizations were categorized as AMA or conventional discharge (CD). To determine differences between AMA and CD regarding treatment characteristics, Fisher exact test, t tests, ANOVA, and logistic regression were performed. RESULTS 74 / 1152 (6%) of opioid-related hospitalizations were discharged AMA. Hospitalizations that resulted in AMA discharge had shorter median length of stay (AMA vs CD 3.5 vs 5.5 days, P |
Databáze: | OpenAIRE |
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