Prevalence of elderly patients who refuse to get discharge from coronary intensive care unit in a tertiary care hospital of North India: a pilot study

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dc.contributor.authorSingla, Sanjeev Kumaren_US
dc.contributor.authorSingla, Ankushen_US
dc.contributor.authorPanditrao, Mridulen_US
dc.contributor.authorBansal, Ishanen_US
dc.contributor.authorSingh, Rakendraen_US
dc.date.accessioned2020-11-18T10:00:10Z
dc.date.available2020-11-18T10:00:10Z
dc.date.issued2019-11
dc.description.abstractBackground: The elderly population ≥60 years is increasing as the life span is increasing. So is the number of elderly patients who are refusing to get discharge from the hospital is also increasing. Authors are conducting this study in the elderly population who want to stay against medical advice.The aim to find the prevalence of elderly patients who refuse to get discharge from Coronary Care Unit (CCU) in a Tertiary care hospital of North IndiaMethods: A retrospective, observational study conducted in patients of age ≥60 years admitted to the coronary intensive care unit of a tertiary health care centre who refused discharge from the unit, were included in the study. Results: Of the 575 patients 44(7.65%) were willing to stay against medical advice. Of these 24(54.5%) were males and 20(45.5%) females. 6(13.6%) patients were terminally ill suffering from malignancies. Among all the patients who were willing to stay against medical advice, 8(18.2%) were covered by some health insurance scheme of either State or Central Government. 3(6.8%) patients were discharged after 24 hours, 22(50%) patients after 48 hours, 14(31.9%) patients after 72 hours and 5(11.3%) patients after 96 hours of advising discharge from hospital.Conclusions: As the intensive care beds at tertiary healthcare level are limited, the treatment of other salvageable sick patients who need the intensive care is affected by the unnecessary stay in hospital. Apart from the worsened nurse to patient ratio this increases the cost of treatment. This is need of hour to provide safe environment for the elderly outside the hospital settings and increase resources to provide better homecare.en_US
dc.identifier.affiliationsDepartment of Anaesthesia and Intensive Care, Adesh Institute of Medical Sciences, Bathinda, Punjab, Indiaen_US
dc.identifier.citationSingla Sanjeev Kumar, Singla Ankush, Panditrao Mridul, Bansal Ishan, Singh Rakendra. Prevalence of elderly patients who refuse to get discharge from coronary intensive care unit in a tertiary care hospital of North India: a pilot study. International Journal of Research in Medical Sciences. 2019 Nov; 7(11): 4223-4226en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/211886
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber11en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-6012.ijrms20194996en_US
dc.subjectCoronary care unit, Elderly, Refused to get discharge, Stay against medical adviceen_US
dc.titlePrevalence of elderly patients who refuse to get discharge from coronary intensive care unit in a tertiary care hospital of North India: a pilot studyen_US
dc.typeJournal Articleen_US
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