title: [Why do they leave? Clinical characteristics of patients who leave the emergency room against medical advice].
abstract: The object of this study was to characterize those who leave the emergency department against medical advice and to examine the short-term consequences. The study was conducted retrospectively during 1992 and prospectively during May-August 1993 by telephone interviews. About 0.5% of all the patients who applied to the emergency department left against medical advice. Their main characteristics was that they were mostly young, single men. A wide range of complaints had brought them to the emergency department, very similar to that of the control group, but with a higher tendency to abuse drugs and alcohol. Most of those who left against medical advice had less severe disease than the controls. However 10% of them had to be hospitalized within the subsequent 2 weeks, in comparison with 4% of the controls. This study suggests that improving the efficiency of the emergency department will decrease the number leaving against advice.
authors.affiliation: Emergency Dept., Gertner Institute for Medical Service Research, Chaim Sheba Medical Center, Tel Hashomer.
authors.forename: A
authors.initials: A
authors.lastname: Carmel
authors.forename: H
authors.initials: H
authors.lastname: Amital
authors.forename: Y
authors.initials: Y
authors.lastname: Shemer
authors.forename: A
authors.initials: A
authors.lastname: Sahar
mesh_terms: D000328:Adult; D000368:Aged; D000437:Alcoholism; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D019966:Substance-Related Disorders; D016312:Treatment Refusal