Discharge Against Medical Advice in Acute Ischemic Stroke: the Risk of 30-Day Unplanned Readmission.

ABSTRACT:

Background

Discharge against medical advice may be associated with more readmissions.

Objective

To evaluate DAMA in patients with acute ischemic stroke (AIS) and identify the relationship between DAMA and 30-day unplanned readmissions.

Design

A retrospective cohort study.

Participants

The National Readmission Database was used to identify inpatients with a primary diagnosis of AIS who were either discharged home or DAMA between 2010 and 2017 in the USA.

Measures

Demographic features, hospital type, comorbidities, stroke risk factors, severity indices, and treatments were compared between patients discharged routinely and DAMA. Multivariable logistic regression was used to evaluate predictors of DAMA, and a double robust inverse probability of treatment w

SUBMITTER: Lin Z 

PROVIDER: S-EPMC8131431 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature