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September 10, 2025The Indian Journal of Medical ResearchOpen Access

Factors affecting discharge against medical advice (DAMA) at a private level 1 trauma centre: A retrospective cohort study

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Authors

AJAnten P. JonishVPV. PurushothamanVKVignesh Kumar

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Overview

Retrospective cohort study identifies GCS and socio-economic factors affecting DAMA in patients.

Key Points

  • A total of 6.9% of trauma patients discharged against medical advice experienced significant complications.
  • DAMA patients had a significantly lower mean GCS of 11.8 versus 14.3 in patients who completed treatment.
  • Logistic regression analysis identified GCS <15 and TBI as major predictors of discharge against medical advice.
  • The findings emphasize that financial constraints heavily impact discharge decisions in trauma patients.

Cite This Study

Jonish et al. (2025) studied this question.

synapsesocial.com/papers/68c243acb210217d647a8794https://doi.org/10.25259/ijmr_314_2025
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