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Article

Factors Influencing Early Readmission after Discharge against Medical Advice from the Emergency Department

1
Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan 44033, Korea
2
Department of Nursing, College of Medicine, Wonkwang University, Iksan 54536, Korea
3
College of Nursing, Dongguk University, Gyeongju 38066, Korea
*
Author to whom correspondence should be addressed.
Academic Editor: Susan Letvak
Healthcare 2021, 9(8), 986; https://doi.org/10.3390/healthcare9080986
Received: 24 June 2021 / Revised: 22 July 2021 / Accepted: 2 August 2021 / Published: 3 August 2021
Discharge against medical advice (DAMA) and readmissions are important issues worldwide and can lead to adverse clinical outcomes, financial burden, and exposure of healthcare workers to unintended medical disputes. This study aimed to identify factors that affect readmissions within 48 h after DAMA. This retrospective study utilized the medical records of patients who visited an emergency medical center in Korea for treatment and were readmitted during a 10-year period. Factors predicting readmission after being DAMA were identified using logistic regression analysis. The total number of patients who were DAMA during the study period was 5445, of which 351 were readmitted to the emergency department within 48 h (6.4%). Factors influencing readmission included medical aid (odds ratio (OR) = 2.02, 95% confidence interval (CI): 1.46–2.83) and foreign worker insurance (OR = 2.07, 95% CI: 1.04–4.09) as their health insurance, as well as presenting for readmission by car (OR = 1.41, 95% CI: 1.08–1.82). Healthcare workers should treat patients who are DAMA and those who are likely to return with a more careful and preventative management strategy so that potential clinical, legal, and economic impacts of DAMA can be mitigated. View Full-Text
Keywords: emergency room; AMA discharge; early readmission; insurance emergency room; AMA discharge; early readmission; insurance
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MDPI and ACS Style

Moon, B.-K.; Ahn, R.; Min, D.; Shim, J. Factors Influencing Early Readmission after Discharge against Medical Advice from the Emergency Department. Healthcare 2021, 9, 986. https://doi.org/10.3390/healthcare9080986

AMA Style

Moon B-K, Ahn R, Min D, Shim J. Factors Influencing Early Readmission after Discharge against Medical Advice from the Emergency Department. Healthcare. 2021; 9(8):986. https://doi.org/10.3390/healthcare9080986

Chicago/Turabian Style

Moon, Byeong-Keon, Ryeok Ahn, Deulle Min, and JaeLan Shim. 2021. "Factors Influencing Early Readmission after Discharge against Medical Advice from the Emergency Department" Healthcare 9, no. 8: 986. https://doi.org/10.3390/healthcare9080986

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