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| LETTER TO EDITOR |
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| Year : 2022 | Volume
: 11
| Issue : 1 | Page : 38 |
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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 |
Correspondence Address:
Dr. Pathum Sookaromdee
Private Academic Consultant, Bangkok
Thailand
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/rcm.rcm_60_21
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 |
Dear Editor,
We would like to share ideas on “Discharge against medical advice (DAMA) in patients with acute coronary syndrome during the COVID-19 outbreak.[1]” 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.[1]” 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.[2] 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.[3] Effect on patients might also occur. A good plan to maintain appropriate necessary service is necessary.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | 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] |
| 2. | Friedman DN, Blackler L, Alici Y, Scharf AE, Chin M, Chawla S, et al. COVID-19-related ethics consultations at a cancer center in New York City: A content review of ethics consultations during the early stages of the pandemic. JCO Oncol Pract 2021;17:e369-76. |
| 3. | Harjai KJ, Agarwal S, Bauch T, Bernardi M, Casale AS, Green S, et al. Coronary and structural heart disease interventions during COVID-19 pandemic: A road map for clinicians and health care delivery systems. Cardiovasc Revasc Med 2020;21:939-45. |
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