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September 10, 2025Saudi Journal of MedicineOpen Access

Reasons for Early Signing against Medical Advice among Patients Presenting with Extremity Fractures at a Tertiary Hospital Trauma Centre, North-Western Nigeria

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Authors

AGAbdullahi Bello GaladimaANAltine Aliyu Nuradeen

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Overview

Retrospective study reveals financial and cultural factors influence SAMA in trauma patients.

Key Points

  • The majority of patients showed SAMA within the first 24 hours post-admission.
  • Reasons for SAMA included financial issues affecting 62.9% of patients and preference for traditional bone setting.
  • The patient cohort was predominantly male with a mean age of 32 years, and closed fractures were the most common type.
  • The SAMA rate was notably high within a younger demographic, particularly among those aged 20 to 40 years.

Cite This Study

Galadima et al. (2025) studied this question.

synapsesocial.com/papers/68c23f63b210217d64796d6fhttps://doi.org/10.36348/sjm.2025.v10i07.006
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Factors affecting discharge against medical advice (DAMA) at a private level 1 trauma centre: A retrospective cohort study2025
  2. 2Discharge Against Medical Advice Amongst Adult Patients with Haematological Malignancies and Associated Mortalityat a University Teaching Hospital in Southern Nigeria.2025
  3. 3Mapping by the Numbers: Exploring the Phenomenon of Patients Leaving Against Medical Advice and Providers’ Perceptions and Attitudes.2024
  4. 4The Persistent Preference for Traditional Bonesetting in Ethiopia: Risk Factors and Missed Opportunities.2026
  5. 5Factors affecting leave against medical advice from the emergency department2025