Coleman, Rachel, Coulton, Simon, Phillips, Thomas (2023) Factors associated with discharge against medical advice in alcohol withdrawal patients. Alcohol and Alcoholism, 58 (5). pp. 561-564. ISSN 0735-0414. E-ISSN 1464-3502. (doi:10.1093/alcalc/agad047) (KAR id:102085)
PDF
Author's Accepted Manuscript
Language: English |
|
Download this file (PDF/345kB) |
Preview |
Request a format suitable for use with assistive technology e.g. a screenreader | |
Official URL: https://doi.org/10.1093/alcalc%2Fagad047 |
Abstract
This study aimed to examine characteristics associated with discharge against medical advice from the hospital in alcohol withdrawal patients, supporting the work of hospital staff and Alcohol Care Teams and identifying characteristics that may help target patients most likely to discharge against medical advice. We used Hospital Episode Statistics Data to identify demographic and clinical variables and compare these in alcohol withdrawal patients who discharged against medical advice from hospital, compared with those who were discharged by the clinical team. Factors significantly associated with alcohol withdrawal patients discharging against medical advice from hospital were: being admitted as an emergency; discharged on a weekend; living with no fixed abode; being male; being younger and having a shorter length of stay. This study identifies characteristics that can be used to support acute hospitals and Alcohol Care Teams, particularly in the allocation of resources to reduce discharges against medical advice and subsequent readmissions to the hospital. Particular consideration should be given to clinical provision in hospitals in emergency departments and on weekends, and also those patients who are admitted and are of no fixed abode.
Item Type: | Article |
---|---|
DOI/Identification number: | 10.1093/alcalc/agad047 |
Uncontrolled keywords: | alcohol withdrawal, discharge against medical advice, DAMA |
Subjects: | R Medicine |
Divisions: | Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies |
Funders: |
University of Hull (https://ror.org/04nkhwh30)
University of Kent (https://ror.org/00xkeyj56) |
Depositing User: | Simon Coulton |
Date Deposited: | 14 Jul 2023 12:34 UTC |
Last Modified: | 14 Jul 2024 23:00 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/102085 (The current URI for this page, for reference purposes) |
- Link to SensusAccess
- Export to:
- RefWorks
- EPrints3 XML
- BibTeX
- CSV
- Depositors only (login required):