Predictors of Leaving an Inpatient Medical Withdrawal Service Against Medical Advice : A Retrospective Analysis
OBJECTIVES: The purpose of this study was to determine the frequency and predictors of patients leaving an inpatient medical withdrawal unit against medical advice (AMA).
METHODS: This study used a case-control design to compare patients who were discharged AMA (n = 164) with those who completed treatment (n = 678). Logistic regression analysis was used to determine which variables were independent predictors of patients leaving AMA.
RESULTS: We found that being admitted through the emergency department (odds ratio [OR] 3.17, confidence interval [CI] 1.66-6.08), having gamma-hydroxybutyrate (OR 7.61, CI 1.81-32.09) as a primary substance of concern compared to alcohol, and having multiple axis I psychiatric diagnoses (OR 2.20, CI 1.16-4.18) or depression (OR 2.86, CI 1.32-6.17) compared with no psychiatric diagnosis increased the odds of leaving inpatient medical withdrawal AMA. By contrast, not being dependent on nicotine (OR 0.45, CI 0.23-0.88) and increasing time since admission (OR 0.42, CI 0.36-0.48) reduced the odds of leaving AMA.
CONCLUSIONS: The findings of this study reveal novel information about patients who leave inpatient medical withdrawal AMA and can inform targeted interventions to prevent vulnerable patients from terminating treatment early and improve healthcare service utilization.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2018 |
---|---|
Erschienen: |
2018 |
Enthalten in: |
Zur Gesamtaufnahme - volume:12 |
---|---|
Enthalten in: |
Journal of addiction medicine - 12(2018), 6 vom: 15. Nov., Seite 453-458 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Ling, Sara [VerfasserIn] |
---|
Links: |
---|
Themen: |
7G33012534 |
---|
Anmerkungen: |
Date Completed 05.11.2019 Date Revised 05.11.2019 published: Print Citation Status MEDLINE |
---|
doi: |
10.1097/ADM.0000000000000431 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM285833146 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM285833146 | ||
003 | DE-627 | ||
005 | 20231225050321.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2018 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1097/ADM.0000000000000431 |2 doi | |
028 | 5 | 2 | |a pubmed24n0952.xml |
035 | |a (DE-627)NLM285833146 | ||
035 | |a (NLM)29939875 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Ling, Sara |e verfasserin |4 aut | |
245 | 1 | 0 | |a Predictors of Leaving an Inpatient Medical Withdrawal Service Against Medical Advice |b A Retrospective Analysis |
264 | 1 | |c 2018 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 05.11.2019 | ||
500 | |a Date Revised 05.11.2019 | ||
500 | |a published: Print | ||
500 | |a Citation Status MEDLINE | ||
520 | |a OBJECTIVES: The purpose of this study was to determine the frequency and predictors of patients leaving an inpatient medical withdrawal unit against medical advice (AMA) | ||
520 | |a METHODS: This study used a case-control design to compare patients who were discharged AMA (n = 164) with those who completed treatment (n = 678). Logistic regression analysis was used to determine which variables were independent predictors of patients leaving AMA | ||
520 | |a RESULTS: We found that being admitted through the emergency department (odds ratio [OR] 3.17, confidence interval [CI] 1.66-6.08), having gamma-hydroxybutyrate (OR 7.61, CI 1.81-32.09) as a primary substance of concern compared to alcohol, and having multiple axis I psychiatric diagnoses (OR 2.20, CI 1.16-4.18) or depression (OR 2.86, CI 1.32-6.17) compared with no psychiatric diagnosis increased the odds of leaving inpatient medical withdrawal AMA. By contrast, not being dependent on nicotine (OR 0.45, CI 0.23-0.88) and increasing time since admission (OR 0.42, CI 0.36-0.48) reduced the odds of leaving AMA | ||
520 | |a CONCLUSIONS: The findings of this study reveal novel information about patients who leave inpatient medical withdrawal AMA and can inform targeted interventions to prevent vulnerable patients from terminating treatment early and improve healthcare service utilization | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Research Support, Non-U.S. Gov't | |
650 | 7 | |a Anesthetics, Intravenous |2 NLM | |
650 | 7 | |a Sodium Oxybate |2 NLM | |
650 | 7 | |a 7G33012534 |2 NLM | |
700 | 1 | |a Cleverley, Kristin |e verfasserin |4 aut | |
700 | 1 | |a Brennenstuhl, Sarah |e verfasserin |4 aut | |
700 | 1 | |a Bindseil, Kirstin |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Journal of addiction medicine |d 2007 |g 12(2018), 6 vom: 15. Nov., Seite 453-458 |w (DE-627)NLM187651477 |x 1935-3227 |7 nnns |
773 | 1 | 8 | |g volume:12 |g year:2018 |g number:6 |g day:15 |g month:11 |g pages:453-458 |
856 | 4 | 0 | |u http://dx.doi.org/10.1097/ADM.0000000000000431 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 12 |j 2018 |e 6 |b 15 |c 11 |h 453-458 |