DAMA from Emergency Departments is a quite concerning issue because it is assumed that these patients are leaving too soon and adverse consequences may very likely follow their discharge [2]. Technology, Army, Military. This might be an important research question for future studies in Saudi Arabia. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Moreover, DAMA is associated with higher rates of readmission for the same diseases for which patients were initially admitted or for related morbidity of the diseases, which could lead to a high long-term financial cost of medical care [3]. Enter your term in the search box of the website or check out 50+ related full forms given in … Check below the … It was a cross-sectional study. Therefore they are tested and have no side effects compared to conventional medicine. Unadjusted and adjusted odds ratios with their 95% CI (confidence interval) were reported by performing logistic regression. The ED of the hospital was opened in March 2017 and is composed of the following sections: Acute Care, Triage Unit, and Resuscitation Unit.
KAAUH is a major academic governmental hospital funded by the Ministry of Education. Demand Assigned Multiple Access + 3 variants. It was observed that the odds of DAMA for ≤40-year-old male patients were 3.12 times higher than those of a ≤40 years old female patient ( value < 0.1). As per regulation and policies related to the hospital ED, the information related to all patients is entered on the Health Information Management System-Track Care and the information entered for each admitted patient includes the following: gender, age at admission, triage category, discharge date and time, bed, and discharge classification.
It is composed of 300 beds and has seven departments that offer healthcare to patients with all types of diseases.
To further investigate this interaction, men and women were modeled separately in multivariable models using the same covariates. Maximum health benefits can be more readily achieved when you use products that have met the highest current Health standards for safety, quality, and effectiveness. Long stays at the urgent care would increase the total expenditures of the patients, which might be difficult for the patients to bear. Ethical approval was taken from an ethical review committee. Category : Medical (You might also like similar terms related to the Medial category) Not able to find full form or full meaning of DAMA May be you are looking for other term similar to DAMA. However, there were certain limitations to our study.
Monitoring the quality of data entry and statistical analysis was done by AEM and NZ. The mean age was higher among those who got DAMA (37.51 ± 14.17) as compared to those who were admitted to the hospital, discharged with outpatient appointment, or sent home. Various studies suggest a positive correlation between DAMA and male gender, and DAMA and increasing age [2, 4, 5]. We found that, for men, the effect of age (≤40 years) was significant (OR = 3.94, 95% CI 1.31–11.80, ), while, for women, the effect of age (≤40 years) was not as pronounced (OR = 1.27, 95% CI = 0.66–2.42, ). Conclusions. Since ancient days, our fore fathers have been using herbal medicine for treatment of infections, diseases and other injuries i.e chronic e.tc. Sign up here as a reviewer to help fast-track new submissions. We observed that a high proportion of patients with DAMA (62.7%) were less than or equal to 40 years of age as compared to those who were >40 years (37.3%) ( value = 0.05). The Emergency Departments (ED) of hospitals play a crucial role in preserving people’s lives [1]. A study from Spain reported a prevalence of DAMA from ED ranging from 0.07% to 0.7% [9]. DAMA exposes the patient to the risk of an inefficiently treated medical problem and could very easily lead to readmission and extended morbidity. Doctors Aid Medical Activities (DAMA) is a non-profit, non-governmental local Iraqi organization founded in Erbil-Kurdistan region of Iraq , on the basis of serving, supporting, and motivating the surrounding community and the internally displaced people in Iraq.
There was a significant relationship between triage and DAMA; we observed that a higher proportion of patients who requested DAMA presented to urgent care (49.1%) as compared to those who did not request DAMA (24.6%). A thorough analysis was performed using IBM SPSS Statistics version 22. It was a cross-sectional study design. However, there was no significant relationship of gender and DAMA ( value > 0.05). A study [6] found that from the patients who were DAMA, 32% were readmitted within 30 days, while only 12% of patients who underwent regular discharges had readmission within 30 days.
Copyright © 2019 Ashraf El-Metwally et al. The reported worldwide prevalence of DAMA for general medical admissions ranges from 0.7% to 2.2% and from 6% to 54% for psychiatric admissions and is 0.9% for emergency admissions. Review articles are excluded from this waiver policy. The mean age of the study’s participants was 34.79 ± 12.37. A higher proportion of females than males presented to the ED, i.e., 7821 (70.4%) versus 3293 (29.6%). DAMA has a clearly negative impact on treatment outcomes and healthcare resource utilization in addition to exposing healthcare providers to the hazards of proceedings.
To reach out for all society members who are in need for medical services, and to provide them with unique services, in addition to protect them from diseases and epidemics. To further investigate this interaction, men and women were modeled separately in multivariable models using the same covariates. We found a significant relationship between gender and discharge status of the patients ( value < 0.001). Descriptive statistics were computed for categorical variables, such as age, gender, and triage, by computing their frequencies and percentages. Moreover, future studies should assess the socioeconomic status of the patients and a cost analysis should be performed to understand how much cost is incurred by patients presenting to the ED department. The reported worldwide prevalence of DAMA ranges from 0.07 to 20% for emergency admissions. DAMA aims to provide high quality medical care to disadvantaged individuals along with spreading awareness on healthy living and disease prevent. There were several strengths to our study, the most important of which being that, to the best of our knowledge, this was the first study conducted at Saudi Arabia assessing demographic factors of DAMA at the ED. Its relationship with discharge status was then assessed by chi-square test. The prevalence of DAMA was 1%. However, there was no significant difference observed between the mean age of DAMA patients and patients with other discharge statuses on post hoc analysis. In our study, the prevalence of DAMA among patients presenting to ED was 1% over a period of 1 year.
This shows that the opinion of family members plays an important role in an individual’s healthcare [3]. The ED manages approximately 47 admitted cases per day. The discharge against medical advice (DAMA) in the Emergency Department (ED) is an issue of great concern because it may result in adverse consequences at a later stage. The reported worldwide prevalence of DAMA ranges from 0.07 to 20% for emergency admissions. Moreover, another study from a tertiary care hospital in Iran revealed a DAMA rate in ED of about 20.0%. Results. This manuscript does not contain patient identifiable data. Relationship of discharge status and demographic factors and triage among adult population. Therefore, in such situations, the patients would prefer DAMA and we anticipate that this might be one of the main reasons for DAMA. Similarly, a higher proportion of patients who were admitted to the hospital and were transferred to another healthcare facility presented to urgent care (76.1% and 48.3%, respectively), while those who were sent home and were discharged to outpatient facilities presented to less urgent facilities (64.5% and 54%, respectively). In our study, we also noticed a significant correlation between age and gender. In a univariate analysis, age and triage were significant at value < 0.2. We noted that the majority of the DAMA patients were of urgent triage (49.1%) followed by those of less urgent (45.6%) triage, nonurgent (3.5%) triage, and finally emergent (1.8%) triage. The conclusion of our study was that gender and age interact in the prediction of DAMA. An analysis was performed using IBM SPSS version 22. Unadjusted and adjusted odds ratio with 95% CI were reported by performing logistic regression modeling. Moreover, the information on the socioeconomic factors (such as educational status, occupation factors, and monthly income) and reasons for DAMA were not available on the system, which might be an important predictor of DAMA at the Emergency Department. A higher proportion of participants were less than 40 years of age (73.9%) while 26.1% were greater than 40 years of age. DAMA. All other authors including KA, PT, and NZ provided critical feedback and helped shape the research, analysis, and manuscript. DAMA. We recommend that patients should be given some financial support to bear the expenses of the hospital stay from the healthcare facility or from the state. All participants provided written and verbal consent to participate in the study. Moreover, to spread these services throughout Kurdistan region of Iraq, and to transfer modern and developed medical knowledge to all medical specialists and personnel, as a mean to enable DAMA to play a supportive role within the public sector organizations. The prevalence of DAMA in our study was 1%. Descriptive statistics were reported for quantitative and categorical variables and assessed by independent t-test/chi-square/ANOVA (analysis of variance), where appropriate. Since this tertiary care hospital caters to people with different demographic, our study results can be generalized to the Emergency Department of all the tertiary care hospitals in Saudi Arabia.
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