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Factors associated with discharge against medical advice from an alcohol and drug inpatient detoxifcation unit in Barcelona between 1993 and 2006

Factors associated with discharge against medical advice from an alcohol and drug inpatient detoxifcation unit in Barcelona between 1993 and 2006

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

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Abstract

Records from 1,228 consecutively admitted patients (74.5% male) to an inpatient detoxification unit in Barcelona between 1993 and 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 with patients who were medically discharged, those discharged AMA were younger, more likely to be dependent on heroin, other opiates, cocaine or psychostimulants, or to be experiencing reduction or elimination methadone maintenance therapy [reference category: alcohol]. The provision of assistance to clinicians in identifying the patients who are most at risk of leaving inpatient detoxification AMA will enhance their ability to motivate such patients to stay in treatment.

Item Type: Article
Additional Information: [1] Heroin Addiction and Related Clinical Problems is the Official Journal of Europad, AU-CNS, Via XX Settembre, 83 55045 Pietrasanta (Lucca), Italy
Uncontrolled Keywords: discharge against medical advice (AMA), detoxification
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RZ Other systems of medicine
Pre-2014 Departments: School of Health & Social Care
School of Health & Social Care > Centre for Applied Social Research
Related URLs:
Last Modified: 14 Oct 2016 09:20
URI: http://gala.gre.ac.uk/id/eprint/7972

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