Neonatal discharge against medical advice: Experience from a rural tertiary hospital in North Western Nigeria
Background: Discharge against medical advice (DAMA) is a major public health issue, especially among children owing to its adverse outcome. The aim of this study is to determine the prevalence and reasons for DAMA among neonates admitted in Federal Medical Centre Birnin (FMCB) Kudu, Jigawa State. Ma...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Sahel Medical Journal |
| Subjects: | |
| Online Access: | http://www.smjonline.org/article.asp?issn=1118-8561;year=2017;volume=20;issue=2;spage=64;epage=66;aulast=Abdullahi |
| _version_ | 1811306056356200448 |
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| author | Umma Idris Abdullahi |
| author_facet | Umma Idris Abdullahi |
| author_sort | Umma Idris Abdullahi |
| collection | DOAJ |
| description | Background: Discharge against medical advice (DAMA) is a major public health issue, especially among children owing to its adverse outcome. The aim of this study is to determine the prevalence and reasons for DAMA among neonates admitted in Federal Medical Centre Birnin (FMCB) Kudu, Jigawa State. Materials and Methods: This cross-sectional study was conducted over a period of 5 years in the Special Care Baby Unit of FMCB Kudu, Jigawa State. All the case folders of the neonate whose parents signed DAMA were retrieved, and relevant data were extracted. Results: There were 155 cases of neonatal DAMA during the study. Eighty-three were males (53.5%) with an average duration of hospital stay of 4 ± 3.2 days with most DAMA occurring in the 1st week of admission. Neonatal infections, birth asphyxia, and prematurity were the most common diagnoses. Financial constraint was the major reason for DAMA. Fathers were the signatories in the majority of cases. Conclusion: DAMA is prevalent and is mainly due to socio-cultural and economic factors. |
| first_indexed | 2024-04-13T08:37:19Z |
| format | Article |
| id | doaj.art-3064c4b8866c4f99b09e98ba6678d9c7 |
| institution | Directory Open Access Journal |
| issn | 2321-6689 |
| language | English |
| last_indexed | 2024-04-13T08:37:19Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Sahel Medical Journal |
| spelling | doaj.art-3064c4b8866c4f99b09e98ba6678d9c72022-12-22T02:54:03ZengWolters Kluwer Medknow PublicationsSahel Medical Journal2321-66892017-01-01202646610.4103/1118-8561.215035Neonatal discharge against medical advice: Experience from a rural tertiary hospital in North Western NigeriaUmma Idris AbdullahiBackground: Discharge against medical advice (DAMA) is a major public health issue, especially among children owing to its adverse outcome. The aim of this study is to determine the prevalence and reasons for DAMA among neonates admitted in Federal Medical Centre Birnin (FMCB) Kudu, Jigawa State. Materials and Methods: This cross-sectional study was conducted over a period of 5 years in the Special Care Baby Unit of FMCB Kudu, Jigawa State. All the case folders of the neonate whose parents signed DAMA were retrieved, and relevant data were extracted. Results: There were 155 cases of neonatal DAMA during the study. Eighty-three were males (53.5%) with an average duration of hospital stay of 4 ± 3.2 days with most DAMA occurring in the 1st week of admission. Neonatal infections, birth asphyxia, and prematurity were the most common diagnoses. Financial constraint was the major reason for DAMA. Fathers were the signatories in the majority of cases. Conclusion: DAMA is prevalent and is mainly due to socio-cultural and economic factors.http://www.smjonline.org/article.asp?issn=1118-8561;year=2017;volume=20;issue=2;spage=64;epage=66;aulast=AbdullahiDischarge against medical adviceneonatalrural hospital |
| spellingShingle | Umma Idris Abdullahi Neonatal discharge against medical advice: Experience from a rural tertiary hospital in North Western Nigeria Sahel Medical Journal Discharge against medical advice neonatal rural hospital |
| title | Neonatal discharge against medical advice: Experience from a rural tertiary hospital in North Western Nigeria |
| title_full | Neonatal discharge against medical advice: Experience from a rural tertiary hospital in North Western Nigeria |
| title_fullStr | Neonatal discharge against medical advice: Experience from a rural tertiary hospital in North Western Nigeria |
| title_full_unstemmed | Neonatal discharge against medical advice: Experience from a rural tertiary hospital in North Western Nigeria |
| title_short | Neonatal discharge against medical advice: Experience from a rural tertiary hospital in North Western Nigeria |
| title_sort | neonatal discharge against medical advice experience from a rural tertiary hospital in north western nigeria |
| topic | Discharge against medical advice neonatal rural hospital |
| url | http://www.smjonline.org/article.asp?issn=1118-8561;year=2017;volume=20;issue=2;spage=64;epage=66;aulast=Abdullahi |
| work_keys_str_mv | AT ummaidrisabdullahi neonataldischargeagainstmedicaladviceexperiencefromaruraltertiaryhospitalinnorthwesternnigeria |