Discharge Against Medical Advice After Percutaneous Coronary Intervention in the United States

Al Shaibi, K; Gulati, R; Bell, M; Anderson, V; Potts, J; Rashid, M; Kontopantelis, E; Bagur, R; Mamas, M; Kwok, CS

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.

Citation

Al Shaibi, K., Gulati, R., Bell, M., Anderson, V., Potts, J., Rashid, M., …Kwok, C. (2018). Discharge Against Medical Advice After Percutaneous Coronary Intervention in the United States. JACC. Cardiovascular interventions, 1354-1364. https://doi.org/10.1016/j.jcin.2018.03.049

• Acceptance Date: Mar 20, 2018
• Publication Date: Jul 16, 2018
• Journal: JACC: Cardiovascular Interventions
• Print ISSN: 1876-7605
• Pages: 1354-1364
• DOI: https://doi.org/10.1016/j.jcin.2018.03.049
• Keywords: percutaneous coronary intervention, discharge against medical advice, readmissions
• Publisher URL: http://doi.org/10.1016/j.jcin.2018.03.049