Association of Hospital Discharge Against Medical Advice With Readmission and In-Hospital Mortality.

ABSTRACT:

Importance

Hospital readmissions contribute to higher expenditures and may sometimes reflect suboptimal patient care. Individuals discharged against medical advice (AMA) are a vulnerable patient population and may have higher risk for readmission.

Objectives

To determine odds of readmission and mortality for patients discharged AMA vs all others, to characterize patient and hospital-level factors associated with readmissions, and to quantify their overall cost burden.

Design, setting, and participants

Nationally representative, all-payer cohort study using the 2014 National Readmissions Database. Eligible index admissions were nonobstetrical/newborn hospitalizations for patients 18 years and older discharged between January 2014 and November 2014. Admissions were excl

SUBMITTER: Tan SY 

PROVIDER: S-EPMC7290410 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature