Factors associated with discharge against medical advice from an inpatient alcohol and drug detoxification unit in Barcelona during 1993-2006

Gilchrist, Gail, Langohr, Klaus, Fonseca, Francina, Muga, Roberto and Torrens, Marta (2012) Factors associated with discharge against medical advice from an inpatient alcohol and drug detoxification unit in Barcelona during 1993-2006. Heroin Addiction and Related Clinical Problems, 14 (1). pp. 35-44. ISSN 1592-1638 (In Press)

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Abstract

Records from 1,228 consecutively admitted patients (74.5% male) to an inpatient detoxification unit in Barcelona during 1993-2006 were examined to determine factors associated with discharge against medical advice (AMA). 21.5% of admissions were discharged AMA. In multiple logistic regression and compared to patients who were medically discharged; those discharged AMA were younger, more likely to be dependent on heroin, other opiates, cocaine or psychostimulants or be receiving suppression from methadone maintenance therapy [reference category: alcohol]. Assisting clinicians to identify patients most at risk for leaving inpatient detoxification AMA will enhance their ability to motivate such patients to remain in treatment.

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