Publication:
Factors Associated with Patient who Underwent Leave Against Medical Advice in the Semi-closed Intensive Care Unit

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creativeworkseries.issn1999-6217
dc.contributor.authorNiraj Kumar Keyal,
dc.contributor.authorBanu, Haque, Ishfa
dc.contributor.authorMishra, Jeetendra Kumar
dc.contributor.authorAnsari, Parwez Alam
dc.contributor.authorAnsari, Ishrat Zahan
dc.contributor.authorShah, Ashish Kumar
dc.date.accessioned2026-08-31T08:19:30Z
dc.date.available2026-08-31T08:19:30Z
dc.date.issued2025
dc.descriptionNiraj Kumar Keyal National Medical College, Birgunj, Nepal https://orcid.org/0000-0001-8587-1718 Ishfa Banu Haque National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal Jeetendra Kumar Mishra National Medical College, Birgunj, Nepal Parwez Alam Ansari National Medical College, Birgunj, Nepal Ishrat Zahan Ansari National Medical College, Birgunj, Nepal Ashish Kumar Shah National Medical College, Birgunj, Nepal
dc.description.abstractAbstract: Background: Leave against medical advice is a more prevalent challenge in Intensive Care units of developing countries compared to developed ones. Methods: This prospective observational study was done included 466 patients aged ?18 years who underwent leave against medical advice in a level three intensive care unit of a medical college. The patient admitted to the intensive care unit who chose to leave against the clinicians’ advice was referred to as leaving against medical advice. All data were first entered into an Excel sheet and then transferred to a statistical package for the social sciences-16 for analysis. The descriptive data are presented as the number and percentage for categorical data and mean ± standard deviation for continuous data according to their distribution. Results: A total of 466 patients were included in the study, and among them,273(58.58%) were male and 193(41.41%) were female. Middle- aged patients account for 234(50.21%) cases. Most patients, 460(98.71%) were admitted from the emergency department. LAMA occurred most frequently during morning shift, 258(55.56%) and in the month of Chaitra 19.4%.The mean ICU stay was 2.53±1.92 days. Internal Medicine accounted for 221(47.2%) who underwent leave against medical advice. 59(12.6%) were mechanically ventilated. Poor prognosis was the primary reason in 278(59.64%) patients who underwent leave against medical advice. Conclusions: Poor prognosis and financial problems were the most common reasons for patients to leave against medical advice. Therefore, government and other institutions should address this as a critical issue in patient management.
dc.identifierhttps://doi.org/10.33314/jnhrc.v23i03.4628
dc.identifier.urihttps://hdl.handle.net/20.500.14572/7519
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.subjectDeveloping country
dc.subjectIntensive Care Units
dc.subjectMorbidity
dc.titleFactors Associated with Patient who Underwent Leave Against Medical Advice in the Semi-closed Intensive Care Unit
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage443
oaire.citation.startPage439
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relation.isJournalIssueOfPublication.latestForDiscoveryef0e5e64-f8db-4300-afbb-e3b9226671a2
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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