Related Experiment Video

Updated: Jan 20, 2026

MRI-guided Focused Ultrasound Thalamotomy for Patients with Medically-refractory Essential Tremor
05:54

MRI-guided Focused Ultrasound Thalamotomy for Patients with Medically-refractory Essential Tremor

Published on: December 13, 2017

14.8K

Discharge against medical advice in paediatric patients

Manijeh Khalili1, Alireza Teimouri1, Iraj Shahramian2

  • 1Children & Adolescent Health Research Center, Resistant Tuberculosis Institute, Zahedan University Medical Sciences, Zahedan, Iran.

Journal of Taibah University Medical Sciences
|August 23, 2019
PubMed

Insights

Discharge against medical advice (DAMA) in pediatric patients is linked to parental education, hospitalization length, and treatment duration. Key reasons include dissatisfaction with care, family disruption, and financial issues.

Area of Science:

  • Pediatric Healthcare
  • Patient Discharge Studies
  • Health Services Research

Background:

  • Discharge against medical advice (DAMA) can negatively impact patient outcomes.
  • Understanding DAMA reasons is crucial for improving pediatric care quality.

Purpose of the Study:

  • To investigate the primary reasons for DAMA among parents of children in a pediatric ward.
  • To identify factors associated with DAMA in a hospital setting in Zahedan, Iran.

Main Methods:

  • A case-control study involving 130 pediatric patients.
  • Patients were divided into incomplete treatment (DAMA) and complete treatment groups.
  • Data collected via self-administered questionnaires.

Main Results:

  • DAMA showed a significant relationship with father's education level (p<0.05).
  • Length of hospitalization (p<0.001) and treatment duration (p=0.027) were significantly correlated with DAMA.
  • No significant correlation found for other assessed factors (p>0.05).

Conclusions:

  • Primary DAMA drivers include dissatisfaction with medical staff, family-related issues (e.g., other children at home), economic constraints, and homesickness.
  • Educating parents on treatment benefits/risks can aid informed decision-making regarding complete treatment.
Abstract

Keywords:
ComparisonDischarge against medical adviceNormal dischargePaediatric wardsPatient satisfaction

More Related Videos

Effects of Different Connection Modes of Electroacupuncture on Electrocardiogram and Nerve Discharge in Rats04:33

Effects of Different Connection Modes of Electroacupuncture on Electrocardiogram and Nerve Discharge in Rats

Published on: January 3, 2025

630
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

31.1K

Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.2K
RC Circuits: Discharging A Capacitor01:27

RC Circuits: Discharging A Capacitor

One of the applications of an RC circuit is the relaxation oscillator. The relaxation oscillator comprises a voltage source, a capacitor, a resistor, and a neon lamp. The lamp acts like an open circuit (infinite resistance) until the potential difference across the neon lamp reaches a specific voltage. At that voltage, the lamp acts like a short circuit (zero resistance), and the capacitor discharges through the neon lamp and produces light. Once the capacitor is fully discharged through the...
4.4K
Inhaled Medications01:23

Inhaled Medications

Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
760
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
225
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
217
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
181