Signouts against medical advice from a coronary care unit

W. F. Baile, J. A. Brinker, J. D. Wachspress, B. T. Engel

Research output: Contribution to journalArticle

Abstract

Twenty-nine patients who were admitted to a Coronary Care Unit (CCU) but who subsequently discharged themselves against medical advice (AMA) were matched with a group of control patients who were admitted to the same unit but who remained in the hospital for the entire course of their treatment. The two groups were then compared on the basis of sociodemographic, medical, behavioral, and psychiatric variables. Results were that the AMA group differed significantly from the control group in a number of factors including age, number of previous AMA signouts, severity of medical problems, and self-reports of alcoholism and emotional difficulties. The relationship of these findings to the AMA behavior is discussed and intervention strategies are suggested.

Original languageEnglish (US)
Pages (from-to)85-92
Number of pages8
JournalJournal of Behavioral Medicine
Volume2
Issue number1
DOIs
StatePublished - Mar 1 1979

Keywords

  • compliance
  • coronary
  • infarction
  • signout

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

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