Discharge against medical advice among infants with 24-31 weeks' gestation admitted to Chinese neonatal intensive care units: A multicenter cohort study.

ABSTRACT:

Background

Previous studies demonstrated high rates of discharge against medical advice (DAMA) among very preterm infants (VPIs) in China.

Objectives

The aim of this study was to investigate the concurrent incidence, variation, and predictors of DAMA, along with the effect of DAMA on mortality of VPIs in China using data from the Chinese Neonatal Network (CHNN).

Methods

All infants born at 24-31 completed weeks' gestation and admitted to 57 CHNN neonatal intensive care units (NICUs) in 2019 were included for this cohort study, excluding infants with major congenital anomalies. Patient information was prospectively collected using the CHNN database. Multivariable log-linear regression analysis was used to assess the association of perinatal factors and DAMA.

Results

SUBMITTER: Xiu W 

PROVIDER: S-EPMC9424540 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature