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

By Gail Gilchrist, Klaus Langohr, Francina Fonseca, Roberto Muga and Marta Torrens

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

Topics: RC
Publisher: European Opiate Addiction Treatment Association
Year: 2012
OAI identifier: oai:gala.gre.ac.uk:7123

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