Consequences and predisposing factors of self-discharge against medical advice in plastic and hand surgery - Takeaways - MDSpire
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Impacts and risk factors associated with self-discharge against medical advice in plastic and hand surgical procedures

  • By

  • Sören Könneker

  • Rosalia Luketina

  • Stefaniya Bozadzhieva

  • Thomas von Lengerke

  • Nicco Krezdorn

  • Theodore L. H. Luketina

  • Peter M. Vogt

  • Alexander Kaltenborn

  • August 25, 2021

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  • 1

    The rate of self-discharge against medical advice in plastic and hand surgery increased from 2.6% to 4.7% over a 10-year period.

  • 2

    Patients who self-discharged were more likely to live in shared households and have children at home compared to those discharged by surgeons.

  • 3

    Self-discharged patients reported a higher complication rate of 19.2% and a revision operation rate of 17.8% compared to 10.0% and 3.1% in the control group.

  • 4

    Despite self-discharging, 87.7% of these patients were satisfied with their medical treatment, though satisfaction was higher in the control group.

  • 5

    Lower pain scores were reported by self-discharged patients at discharge and 24 hours later, indicating they may have perceived their condition as manageable.

Original Source(s)

Consequences and predisposing factors of self-discharge against medical advice in plastic and hand surgery

  • by Sören Könneker, Rosalia Luketina, Stefaniya Bozadzhieva, Thomas von Lengerke, Nicco Krezdorn, Theodore L. H. Luketina, Peter M. Vogt, Alexander Kaltenborn

  • August 25, 2021

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