Trends, Management Patterns, and Predictors of Leaving Against Medical Advice among Patients with Documented Noncompliance Admitted for Acute Myocardial Infarction
Noncompliance (NC) and leaving against medical advice (LAMA) are risk factors for poor outcomes, including hospital readmission and mortality.1,2 This study aims to investigate the relationship between NC and LAMA, describe characteristics of NC patients, evaluate the clinical management of acute myocardial infarction (AMI) in NC patients, and identify predictors of LAMA in this population. We hypothesized that NC would be associated with higher rates of LAMA.
We identified adults with a primary diagnosis of AMI and documented NC using the National Inpatient Survey (2010–2014). Documented NC is defined by the ICD-9-CM Diagnosis Code V15.81 as a personal history of noncompliance with medical treatment, presenting hazards to health. We used logistic regression to perform temporal trend analysis for documented NC among patients with a primary diagnosis of AMI. We then compared demographic and clinical characteristics as well as outcomes, primarily LAMA, between this...
KEY WORDSnoncompliance high-risk patients leaving against medical advice (LAMA) acute myocardial infarction (AMI)
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