Kwok, CS, Bell, M, Anderson, V, Al Shaibi, K, Gulati, R, Potts, J, Rashid, M, Kontopantelis, E, Bagur, R and Mamas, M ORCID: 0000-0001-9241-8890 (2018) Discharge Against Medical Advice After Percutaneous Coronary Intervention in the United States. JACC: Cardiovascular Interventions. ISSN 1876-7605 (In Press)

[img] Text
Manuscript REF.pdf - Accepted Version
Restricted to Repository staff only until 20 March 2019.
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (966kB)

Abstract

Discharge against medical advice (DAMA) in the context of PCI has not been described in the literature. Among the 2,021,104 patients, the proportion of patients who DAMA was 0.5% (n=10,049). Important predictors of DAMA included diagnosis of acute myocardial infarction, smoking, and alcohol misuse. DAMA was the strongest predictor for readmission
(OR 1.92, 1.74-2.12, p<0.001). DAMA patients were more likely to have neuropsychiatric reasons for non-cardiac causes of readmission and acute myocardial infarction for cardiac causes of readmission compared to patients discharged home. DAMA following PCI is rare but it is strongly associated with readmissions within 30 days.

Item Type: Article
Additional Information: This is the accepted author manuscript (AAM). The final published version (version of record) is available online via Elsevier at https://www.journals.elsevier.com/jacc-cardiovascular-interventions - please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: percutaneous coronary intervention, discharge against medical advice, readmissions
Subjects: R Medicine > RC Internal medicine > RC666 Diseases of the circulatory (Cardiovascular) system
Divisions: Faculty of Medicine and Health Sciences > Institute for Science and Technology in Medicine
Depositing User: Symplectic
Date Deposited: 21 Mar 2018 09:04
Last Modified: 22 Jun 2018 14:45
URI: http://eprints.keele.ac.uk/id/eprint/4631

Actions (login required)

View Item View Item