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August 17, 2025CureusOpen Access

Shifts in Demographics and Characteristics Among Patients Leaving Against Medical Advice From Before, During, and After the COVID-19 Pandemic

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Authors

ASAaron ShaykevichDYDavid YagudayevJRJamie L. Romeiser

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Overview

Retrospective cohort analysis shows shifts in AMA discharges during COVID-19, suggesting increased social disadvantage.

Key Points

  • AMA discharges associated with higher Social Deprivation Index scores in the post-COVID-19 period.
  • Length of hospital stay before leaving AMA increased after the pandemic, indicating significant changes in patient behavior.
  • Black patients represented a larger portion of AMA discharges during COVID-19 compared to pre-pandemic.
  • A significant rise in AMA discharges from the ICU was observed post-pandemic, indicating evolving clinical patterns.

Cite This Study

Shaykevich et al. (2025) studied this question.

synapsesocial.com/papers/68af76bf7567bf4f94fefebdhttps://doi.org/10.7759/cureus.90290
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Also Consider

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  4. 4Improving patient flow: ethnicity and socio-economic status associated with delayed discharge from hospital in patients with COVID-19 infection: An observational epidemiological study2025
  5. 5Mortality and Transitions-Of-Care After COVID-19 Hospitalization Among US Medicare Patients: A Retrospective Claims Analysis2025