{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T08:10:17Z","timestamp":1763280617098,"version":"3.45.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,16]]},"DOI":"10.7759\/cureus.96939","type":"journal-article","created":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T08:08:33Z","timestamp":1763280513000},"source":"Crossref","is-referenced-by-count":0,"title":["Epidemiological and Clinical Profiles of Patients Leaving Against Medical Advice From the Pediatric Intensive Care Unit of a Tertiary Care Hospital: A Prospective Observational Study"],"prefix":"10.7759","author":[{"given":"Srishti","family":"Agarwal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neeraj","family":"Anand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sciddhartha","family":"Koonwar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SN","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prabhaker","family":"Mishra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-12-75","article-title":"Pediatrician's perspectives on discharge against medical advice (DAMA) among pediatric patients: a qualitative study","volume":"12","author":"Macrohon BC","year":"2012","unstructured":"Macrohon BC. Pediatrician's perspectives on discharge against medical advice (DAMA) among pediatric patients: a qualitative study. BMC Pediatr. 2012, 12:75. 10.1186\/1471-2431-12-75","journal-title":"BMC Pediatr"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.25259\/SNI_559_2020","article-title":"Determinants of discharge against medical advice from a rural neurosurgical service in a developing country: a prospective observational study","volume":"11","author":"Oyemolade TA","year":"2020","unstructured":"Oyemolade TA, Adeleye AO, Ogunyileka OC, Arogundade FM, Olusola AJ, Aribisala OO. Determinants of discharge against medical advice from a rural neurosurgical service in a developing country: a prospective observational study. Surg Neurol Int. 2020, 11:290. 10.25259\/SNI_559_2020","journal-title":"Surg Neurol Int"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.100164","article-title":"Factors associated with patients who leave acute-care hospitals against medical advice","volume":"97","author":"Ibrahim SA","year":"2007","unstructured":"Ibrahim SA, Kwoh CK, Krishnan E. Factors associated with patients who leave acute-care hospitals against medical advice. Am J Public Health. 2007, 97:2204-8. 10.2105\/AJPH.2006.100164","journal-title":"Am J Public Health"},{"key":"ref4","doi-asserted-by":"crossref","DOI":"10.4103\/1117-1936.174475","article-title":"Profile of and control measures for paediatric discharges against medical advice","volume":"11","author":"Okoromah CN","year":"2004","unstructured":"Okoromah CN, Egri-Qkwaji MT. Profile of and control measures for paediatric discharges against medical advice. Niger Postgrad Med J. 2004, 11:21-5.","journal-title":"Niger Postgrad Med J"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.5812\/compreped.107577","article-title":"Pediatric discharges against medical advice: a review of cases in Ado-Ekiti, Nigeria","volume":"12","author":"Babatola AO","year":"2021","unstructured":"Babatola AO, Olatunya OS, Ogundare EO, et al.. Pediatric discharges against medical advice: a review of cases in Ado-Ekiti, Nigeria. J Compr Ped. 2021, 12:e107577. 10.5812\/compreped.107577","journal-title":"J Compr Ped"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.cegh.2013.08.002","article-title":"Rural background and low parental literacy associated with discharge against medical advice from a tertiary care government hospital in India","volume":"3","author":"Awasthi S","year":"2015","unstructured":"Awasthi S, Pandey N. Rural background and low parental literacy associated with discharge against medical advice from a tertiary care government hospital in India. Clin Epidemiol Global Health. 2015, 3:24-8. 10.1016\/j.cegh.2013.08.002","journal-title":"Clin Epidemiol Global Health"},{"key":"ref7","article-title":"Leaving against medical advice: underestimated challenge in children","volume":"53","author":"Roy MP","year":"2016","unstructured":"Roy MP, Gupta R. Leaving against medical advice: underestimated challenge in children. Indian Pediatr. 2016, 53:264.","journal-title":"Indian Pediatr"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmn100","article-title":"Factors influencincing discharge against medical advice among paediatric patients in Abakaliki, Southeastern Nigeria","volume":"55","author":"Ibekwe RC","year":"2009","unstructured":"Ibekwe RC, Muoneke VU, Nnebe-Agumadu UH, Amadife MA. Factors influencincing discharge against medical advice among paediatric patients in Abakaliki, Southeastern Nigeria. J Trop Pediatr. 2009, 55:39-41. 10.1093\/tropej\/fmn100","journal-title":"J Trop Pediatr"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.15850\/ijihs.v3n1.400","article-title":"Discharge against medical advice in pediatric intensive care unit and subsequent events","volume":"3","author":"Somasetia DH","year":"2015","unstructured":"Somasetia DH, Isman S, Wonoputri N. Discharge against medical advice in pediatric intensive care unit and subsequent events. Int J Int Health Sci. 2015, 3:7-10. 10.15850\/ijihs.v3n1.400","journal-title":"Int J Int Health Sci"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.18203\/2394-6040.ijcmph20241863","article-title":"Update of modified Kuppuswamy scale for the year 2024","volume":"11","author":"Mandal I","year":"2024","unstructured":"Mandal I, Hossain SR. Update of modified Kuppuswamy scale for the year 2024. Int J Community Med Public Health. 2024, 11:2945-6. 10.18203\/2394-6040.ijcmph20241863","journal-title":"Int J Community Med Public Health"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002347","article-title":"Validation of an electronic pediatric index of mortality 2 score in a mixed quaternary PICU","volume":"21","author":"Joyce EL","year":"2020","unstructured":"Joyce EL, Crana CM, Yabes J, Kellum JA. Validation of an electronic pediatric index of mortality 2 score in a mixed quaternary PICU. Pediatr Crit Care Med. 2020, 21:e572-5. 10.1097\/PCC.0000000000002347","journal-title":"Pediatr Crit Care Med"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmaa110","article-title":"Leave against medical advice in children: rural Indian perspective","volume":"67","author":"Datta D","year":"2021","unstructured":"Datta D, Mondal T, Sarkar M, et al.. Leave against medical advice in children: rural Indian perspective. J Trop Pediatr. 2021, 67:fmaa110. 10.1093\/tropej\/fmaa110","journal-title":"J Trop Pediatr"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-025-00108-3","article-title":"Children discharged against medical advice and their outcome in a public hospital in India: a prospective cohort study","volume":"62","author":"Jha S","year":"2025","unstructured":"Jha S, Mishra D, Agarwal A. Children discharged against medical advice and their outcome in a public hospital in India: a prospective cohort study. Indian Pediatr. 2025, 62:742-6. 10.1007\/s13312-025-00108-3","journal-title":"Indian Pediatr"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/314817","article-title":"Prospective evaluation of cases of discharge against medical advice in Abuja, Nigeria","volume":"2015","author":"Jimoh BM","year":"2015","unstructured":"Jimoh BM, Anthonia OC, Chinwe I, et al.. Prospective evaluation of cases of discharge against medical advice in Abuja, Nigeria. ScientificWorldJournal. 2015, 2015:314817. 10.1155\/2015\/314817","journal-title":"ScientificWorldJournal"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.31729\/jnma.5757","article-title":"Leave against medical advice amongst pediatric patients admitted in a tertiary teaching hospital in Nepal: a descriptive cross-sectional study","volume":"59","author":"Basnet S","year":"2021","unstructured":"Basnet S, B K G, Ansari A, Adhikari S. Leave against medical advice amongst pediatric patients admitted in a tertiary teaching hospital in Nepal: a descriptive cross-sectional study. JNMA J Nepal Med Assoc. 2021, 59:897-901. 10.31729\/jnma.5757","journal-title":"JNMA J Nepal Med Assoc"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3329\/cmoshmcj.v22i2.77791","article-title":"Cause of leave against medical advice (LAMA) in paediatric wards in Chittagong Medical College Hospital","volume":"22","author":"Jabed BACM","year":"2024","unstructured":"Jabed BACM, Nahar K, Choudhury Z, et al.. Cause of leave against medical advice (LAMA) in paediatric wards in Chittagong Medical College Hospital. Chatt Maa Shi Hosp Med Coll J. 2024, 22:64-7. 10.3329\/cmoshmcj.v22i2.77791","journal-title":"Chatt Maa Shi Hosp Med Coll J"},{"key":"ref17","article-title":"Discharge against medical advice amongst neonates admitted into a special care baby unit in Port Harcourt, Nigeria","volume":"12","author":"Opara P","year":"2010","unstructured":"Opara P, Eke G. Discharge against medical advice amongst neonates admitted into a special care baby unit in Port Harcourt, Nigeria. Internet J Pediatr Neonatol. 2010, 12:67-82.","journal-title":"Internet J Pediatr Neonatol"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0284705","article-title":"Discharge against medical advice in special care newborn unit in Chattogram, Bangladesh: prevalence, causes and predictors","volume":"18","author":"Hasan SH","year":"2023","unstructured":"Hasan SH, Das JC, Nahar K, et al.. Discharge against medical advice in special care newborn unit in Chattogram, Bangladesh: prevalence, causes and predictors. PLoS One. 2023, 18:e0284705. 10.1371\/journal.pone.0284705","journal-title":"PLoS One"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.18203\/2349-3291.ijcp20185204","article-title":"Leave against medical advice from SNCU of a teaching hospital in Garhwal, Uttarakhand, India","volume":"6","author":"Kumar R","year":"2018","unstructured":"Kumar R. Leave against medical advice from SNCU of a teaching hospital in Garhwal, Uttarakhand, India. Int J Contemp Pediatr. 2018, 6:176-80. 10.18203\/2349-3291.ijcp20185204","journal-title":"Int J Contemp Pediatr"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.18203\/2349-3291.ijcp20211675","article-title":"Pattern of admission and clinical outcome of patients admitted in pediatric intensive care unit of a rural tertiary health care centre","volume":"8","author":"Parasher V","year":"2021","unstructured":"Parasher V, Shaha S, Khatri R, Yadav S, Das S, Mittal U. Pattern of admission and clinical outcome of patients admitted in pediatric intensive care unit of a rural tertiary health care centre. Int J Contemp Pediatr. 2021, 8:849-53. 10.18203\/2349-3291.ijcp20211675","journal-title":"Int J Contemp Pediatr"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.31729\/jnma.8212","article-title":"Leave against medical advice among neonates admitted to neonatal intensive care unit in a tertiary care centre: a descriptive cross-sectional study","volume":"61","author":"Sharma Y","year":"2023","unstructured":"Sharma Y, Pathak OK, Sharma A, Khanal S, Baral N, Shrestha S, Adhikari P. Leave against medical advice among neonates admitted to neonatal intensive care unit in a tertiary care centre: a descriptive cross-sectional study. JNMA J Nepal Med Assoc. 2023, 61:571-5. 10.31729\/jnma.8212","journal-title":"JNMA J Nepal Med Assoc"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.4314\/njp.v41i2.2","article-title":"Pediatric discharge against medical advice at a tertiary health center in Bayelsa State","volume":"41","author":"Duru CO","year":"2014","unstructured":"Duru CO, Peterside O, Ududua AO. Pediatric discharge against medical advice at a tertiary health center in Bayelsa State. Nigeria. Niger J Paediatr. 2014, 41:90-5. 10.4314\/njp.v41i2.2","journal-title":"Nigeria. Niger J Paediatr"},{"key":"ref23","doi-asserted-by":"crossref","DOI":"10.1007\/s13312-022-2621-3","article-title":"Clinical profile and outcome of newborns discharged against medical advice from a tertiary care centre","volume":"59","author":"Sivanandan S","year":"2022","unstructured":"Sivanandan S, Mondal N. Clinical profile and outcome of newborns discharged against medical advice from a tertiary care centre. Indian Pediatr. 2022, 59:778-81.","journal-title":"Indian Pediatr"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.13578","article-title":"Reducing rates of discharge against medical advice in the neonatal intensive care unit in a tertiary care hospital in South India: a mixed-methods study","volume":"26","author":"Bosco AN","year":"2021","unstructured":"Bosco AN, A S, Rees CA, Wheeler AD, Britto CD, P N SR. Reducing rates of discharge against medical advice in the neonatal intensive care unit in a tertiary care hospital in South India: a mixed-methods study. Trop Med Int Health. 2021, 26:743-52. 10.1111\/tmi.13578","journal-title":"Trop Med Int Health"},{"key":"ref25","article-title":"Reasons of self-discharge from nursery of a tertiary care hospital","volume":"29","author":"Abbas R","year":"2017","unstructured":"Abbas R, Irfan WKA, Waqar T, et al.. Reasons of self-discharge from nursery of a tertiary care hospital. J Ayub Med Coll Abbottabad. 2017, 29:658-61.","journal-title":"J Ayub Med Coll Abbottabad"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.17511\/ijpr.2016.i12.08","article-title":"Mortality pattern in pediatric intensive care unit patients of a tertiary care teaching hospital: a retrospective analysis","volume":"3","author":"Kalraiya A","unstructured":"Kalraiya A, Kapoor A, Singh R. Mortality pattern in pediatric intensive care unit patients of a tertiary care teaching hospital: a retrospective analysis. J Pediatr Res.2016. 3:896-9. 10.17511\/ijpr.2016.i12.08","journal-title":"J Pediatr Res.2016"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.4103\/ijpam.ijpam_8_24","article-title":"Discharge against medical advice in pediatrics: a review and recommendation of a five-component approach","volume":"10","author":"Kim S","year":"2023","unstructured":"Kim S, Marwan A, Lori N, et al.. Discharge against medical advice in pediatrics: a review and recommendation of a five-component approach. Int J Pediatrics Adolescent Med. 2023, 10:51-8. 10.4103\/ijpam.ijpam_8_24","journal-title":"Int J Pediatrics Adolescent Med"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10071-23138","article-title":"Patients leaving against medical advice-a national survey","volume":"23","author":"Paul G","year":"2019","unstructured":"Paul G, Gautam PL, Mahajan RK, Gautam N, Ragavaiah S. Patients leaving against medical advice-a national survey. Indian J Crit Care Med. 2019, 23:143-8. 10.5005\/jp-journals-10071-23138","journal-title":"Indian J Crit Care Med"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-023-2850-1","article-title":"The \u201cagainst medical advice\u201d discharge","volume":"60","author":"Mishra D","year":"2023","unstructured":"Mishra D. The \u201cagainst medical advice\u201d discharge. Indian Pediatr. 2023, 60:255-6. 10.1007\/s13312-023-2850-1","journal-title":"Indian Pediatr"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.2024.377","article-title":"Discharge against medical advice in pediatrics: a 10-year retrospective analysis in a tertiary care center","volume":"44","author":"Albalawi M","year":"2024","unstructured":"Albalawi M, Sadler K, Abudari G, et al.. Discharge against medical advice in pediatrics: a 10-year retrospective analysis in a tertiary care center. Ann Saudi Med. 2024, 44:377-85. 10.5144\/0256-4947.2024.377","journal-title":"Ann Saudi Med"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/406882-epidemiological-and-clinical-profiles-of-patients-leaving-against-medical-advice-from-the-pediatric-intensive-care-unit-of-a-tertiary-care-hospital-a-prospective-observational-study","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T08:08:34Z","timestamp":1763280514000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/406882-epidemiological-and-clinical-profiles-of-patients-leaving-against-medical-advice-from-the-pediatric-intensive-care-unit-of-a-tertiary-care-hospital-a-prospective-observational-study"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,16]]},"references-count":30,"URL":"https:\/\/doi.org\/10.7759\/cureus.96939","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11,16]]}}}