|LETTER TO EDITOR
|Year : 2022 | Volume
| Issue : 1 | Page : 38
Discharge against medical advice in patients during the COVID-19 outbreak: Correspondence
Pathum Sookaromdee1, Viroj Wiwanitkit2
1 Private Academic Consultant, Bangkok, Thailand
2 Department of Community Medicine, Dr. DY Patil University, Pune, Maharashtra, India
|Date of Submission||27-Nov-2021|
|Date of Decision||27-Nov-2021|
|Date of Acceptance||27-Nov-2021|
|Date of Web Publication||29-Mar-2022|
Dr. Pathum Sookaromdee
Private Academic Consultant, Bangkok
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Sookaromdee P, Wiwanitkit V. Discharge against medical advice in patients during the COVID-19 outbreak: Correspondence. Res Cardiovasc Med 2022;11:38
|How to cite this URL:|
Sookaromdee P, Wiwanitkit V. Discharge against medical advice in patients during the COVID-19 outbreak: Correspondence. Res Cardiovasc Med [serial online] 2022 [cited 2022 May 23];11:38. Available from: https://www.rcvmonline.com/text.asp?2022/11/1/38/341267
We would like to share ideas on “Discharge against medical advice (DAMA) in patients with acute coronary syndrome during the COVID-19 outbreak.” Parhizgar et al. concluded that “We herein demonstrated a considerable rate of DAMA in patients with elevated modified HEART risk scores referring to the emergency … … …. pathways in non-COVID-19 patients.” We agree that there are many new discharge against medical advice (DAMA) during the COVID-19 outbreak, and it might cause a new emerging problem in caring of patients with acute coronary syndrome. It is a basic right of the patient to request for discharge. However, it is also a legal duty of physicians to give health care to the patient with a critical illness. When COVID-19 emerges, fearfulness is common. Patients might have an excessive fearfulness and might improperly request for DAMA. There should be a specific patient education for reassurance before DAMA, and if DAMA occurs, a system for monitoring of patients should be set. Finally, excessive fearfulness among practitioners might also occur. During the COVID-19 pandemic period, many health-care centers might limit service or postpone many medical procedures. Effect on patients might also occur. A good plan to maintain appropriate necessary service is necessary.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Parhizgar SE, Vahedinezhad M, Yari T, Mohajer B, Maghsoudloo Z, Sadeghipour P, et al
. Discharge against medical advice in patients with acute coronary syndrome during the COVID-19 outbreak. Res Cardiovasc Med 2021;10:79-82. [Full text]
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