The American journal of medicine
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Comparative Study
Increased risk of mortality and readmission among patients discharged against medical advice.
Approximately 500,000 patients are discharged from US hospitals against medical advice annually, but the associated risks are unknown. ⋯ Discharge against medical advice is associated with increased risk for mortality and readmission. In addition, discharges against medical advice have shorter lengths of stay than matched planned discharges, suggesting that the increased risks associated with discharge against medical advice are attributable to premature discharge.
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Comparative Study
Risk of chronic dialysis and death following acute kidney injury.
Acute kidney injury frequently arises within an acute care hospitalization. Outcomes among acute kidney injury survivors following hospital discharge are poorly documented. ⋯ Even when acute dialysis is not required, survivors of acute kidney injury remain at higher risk of receipt of chronic dialysis thereafter. The absolute risk of death was more than 8 times the rate of chronic dialysis.