As reported in the literature, financial problems and fears about handling life can be factors affecting DAMA.
In addition, the relationship between healthcare providers and the patients may be strained due to readmission caused by DAMA.
Background. Approval was also taken from KAAUH to retrieve information on patients from their medical records. This confirms the multivariable analysis finding that the odds for DAMA increased significantly in men with age (≤40 years), but not in women. AEM, NSA, and AAA contributed to sample preparation. Our study concluded that DAMA was more likely among younger male patients (≤40 years of age). Ashraf El-Metwally, Nesreen Suliman Alwallan, Ali Amin Alnajjar, Nida Zahid, Khalid Alahmary, Paivi Toivola, "Discharge against Medical Advice (DAMA) from an Emergency Department of a Tertiary Care Hospital in Saudi Arabia", Emergency Medicine International, vol. Unadjusted and adjusted odds ratios with their 95% CI (confidence interval) were reported by performing logistic regression. This shows that the opinion of family members plays an important role in an individual’s healthcare [3]. DAMA was more likely among the younger patients, which is consistent with the findings from other studies [2, 4, 5]. There was a significant relationship between age and discharge status ( value < 0.001). It was observed that the odds of DAMA for ≤40-year-old male patients were 3.12 times higher than those of a ≤40 years old female patient ( value < 0.1).
The datasets analyzed/generated during the current study are not publicly available due to patient confidentiality. In addition, another study from Iran reported that gender had a significant relationship with discharge status and the DAMA rate among men was 47% greater than that of women [13]. The ED of the hospital was opened in March 2017 and is composed of the following sections: Acute Care, Triage Unit, and Resuscitation Unit.
Discharge against Medical Advice (DAMA) from an Emergency Department of a Tertiary Care Hospital in Saudi Arabia, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdullah Bin Abdulaziz University Hospital, Princess Nourah University, Riyadh, Saudi Arabia, Department of Health Systems Management, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia, King Abdullah Specialist Children’s Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia, King Abdullah Bin Abdulaziz University Hospital, K. Noohi, S. Komsari, N. Nakhaee, and V. Y. Feyzabadi, “Reasons for discharge against medical advice: a case study of emergency departments in Iran,”, S. A. Adefemi, I. T. Adeleke, P. Gara, O. O. This manuscript does not contain patient identifiable data.
Check below the list of some of our herbal medicines: Herbal Medicine, Nutritional Supplements and Skin Care Products, Helps in easing digestion & stops stomach upset, Cleans blood of toxins, increases blood quantity. In a multivariable analysis, after adjusting for the other covariates, we observed a significant interaction between age and gender. Therefore, our results suggest that the prevalence of DAMA in our region might be comparable with that in other regions of the world. A value of ≤0.05 was considered statistically significant throughout the study.
Category : Medical (You might also like similar terms related to the Medial category) Not able to find full form or full meaning of DAMA May be you are looking for other term similar to DAMA. Descriptive statistics were reported for quantitative and categorical variables and assessed by independent t-test/chi-square/ANOVA (analysis of variance), where appropriate. Moreover, DAMA is associated with higher rates of readmission for the same diseases for which patients were initially admitted or for related morbidity of the diseases, which could lead to a high long-term financial cost of medical care [3]. It is composed of 300 beds and has seven departments that offer healthcare to patients with all types of diseases. The reported worldwide prevalence of DAMA ranges from 0.07 to 20% for emergency admissions. The ED offers medical care to all students enrolled at Princess Nourah University (PNU) and employees of the university and the hospital as well as their families (approximately 70,000). Relationship of discharge status and demographic factors and triage among adult population. We observed that a higher proportion (60.9%) of patients presented to the less urgent care of ED followed by urgent triage (24.5%), nonurgent triage (13.9%), and emergent triage (0.5%), while non-ED patients were 0.2%.
On the other hand, emergency cases are usually admitted at the urgent care and are advised to stay longer at the hospital due to their critical condition. Discharged against Medical Advice Medical, Medicine, Hospital.
The study aimed to further assess the predictors of DAMA among that same population. A study [6] found that from the patients who were DAMA, 32% were readmitted within 30 days, while only 12% of patients who underwent regular discharges had readmission within 30 days. In addition to offer and distribute nonfood items in line of medical services. Moreover, a systematic review, which was carried out on 61 studies, showed that young age is indeed a predictor of DAMA [12].
Click here for more details, Online health training courses & Webinar for health staff, Stay updated with the most important health education materials, You can now register yourself for our courses, Free online medical Consultation During CoVID 19 outbreak, Doctors Aid for Medical Activities (DAMA), I'm a medical doctor graduated from Suleimania. There was a significant relationship between triage and DAMA; we observed that a higher proportion of patients who requested DAMA presented to urgent care (49.1%) as compared to those who did not request DAMA (24.6%). Therefore, it is imperative to identify the predictors of DAMA in ED. We found a significant relationship between gender and discharge status of the patients ( value < 0.001).
We are committed to sharing findings related to COVID-19 as quickly as possible. DAMA: Data Administration Management Association: DAMA: Demand Activated Manufacturing Architecture: DAMA: Discharge Against Medical Advice: DAMA: Deutsche Arzneimittel-und Medizinprodukteagentur (German: German Medicines and Medical Devices Agency) AEM took the lead in preparing and writing the manuscript as a draft. A. Hayat, M. M. Ahmed, and F. A. Minhas, “Patients leaving against medical advice: an inpatient psychiatric hospital-based study,”, M. Brook, D. M. Hilty, W. Liu, R. Hu, and M. A. Frye, “Discharge against medical advice from inpatient psychiatric treatment: a literature review,”, E. Ashrafi, S. Nobakht, M. Safi Keykaleh, E. Kakemam, E. Hasanpoor, and M. Sokhanvar, “Discharge against medical advice (DAMA): causes and predictors,”, M. Bahadori, M. Raadabadi, M. Salimi, and R. Ravangard, “Discharge against medical advice: a case study in a public teaching hospital in Tehran, Iran in 2012,”. The results of the studies conducted in America and Iran also confirm the role of gender in predicting DAMA [12, 14].
The outcomes of DAMA can have extremely detrimental effects on a patient’s situation, even up to the point of death, as well as associated side effects, which cannot be cured, causing relapses, readmissions, and increases in medical costs for the patient. However, there was no significant difference observed between the mean age of DAMA patients and patients with other discharge statuses on post hoc analysis.
It was observed that the odds of DAMA for ≤40-year-old males were 3.12 times higher than those of a ≤40-year-old female ( value < 0.1).
Dama Medicinal Herbs provides products that are customized to meet your specific needs. Table 2 presents the relationship of discharge status and demographic factors among the adult population presenting to the ED of a tertiary care hospital in Saudi Arabia. Similarly, a higher proportion of patients who were admitted to the hospital and were transferred to another healthcare facility presented to urgent care (76.1% and 48.3%, respectively), while those who were sent home and were discharged to outpatient facilities presented to less urgent facilities (64.5% and 54%, respectively). Maximum health benefits can be more readily achieved when you use products that have met the highest current Health standards for safety, quality, and effectiveness. We observed that for men the effect of age (≤40 years) was significant (OR = 3.94, 95% CI 1.31–11.80, ), while for women the effect of age (≤40 years) was not significant (OR = 1.27, 95% CI = 0.66–2.42, ). The discharge against medical advice (DAMA) in the Emergency Department (ED) is an issue of great concern because it may result in adverse consequences at a later stage. The Emergency Departments (ED) of hospitals play a crucial role in preserving people’s lives [1]. Since this tertiary care hospital caters to people with different demographic, our study results can be generalized to the Emergency Department of all the tertiary care hospitals in Saudi Arabia. The medical records used were those of all the patients (n = 11513) admitted to the Emergency Department (ED) of King Abdullah Bin Abdulaziz University Hospital (KAAUH) in Riyadh, Saudi Arabia, between 2017 and 2018. Results. The prevalence of DAMA in our study was 1%. I'm a dentist graduated from Baghdad University , I'm an Engineer Graduated from Baghdad University . Technology, Army, Military. Predictors of DAMA such as younger age, male sex, substance abuse disorders, lack of a personal physician, and lack of health insurance have also been reported in the literature [2]. Table 4 shows the univariate and multivariable analyses for assessing the relationship of DAMA with demographics and triage. Enter your term in the search box of the website or check out 50+ related full forms given in … It is essential to understand the factors that cause DAMA and it is of immense importance to identify those at higher risk of DAMA to avoid excess morbidity, mortality, and healthcare costs [6]. Moreover, a higher proportion of patients with DAMA presented to urgent care. DAMA. Local institutional review board approval from the Committee of Scientific Research and Publication was sought and granted for this project. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19.
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