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Table 2 Most responsible hospital diagnosis associated with leaving against medical advice (AMA) discharges, Manitoba, Canada; 1990–2009

From: A population-based analysis of leaving the hospital against medical advice: incidence and associated variables

Most responsible hospital diagnosis

Total number of episodes

AMA episode, (% of live discharges)

% of total AMA episodes

Alcohol or drug abuse

24 768

2900 (11.71)

13.54

Poisonings by pharmaceuticals or alcohol

9684

730 (7.54)

3.41

Alcohol-related liver disease

2202

162 (7.36)

0.76

Diabetic ketoacidosis

4728

267 (5.65)

1.25

Tuberculosis

1353

69 (5.10)

0.32

Intracranial injuries without skull fracture

4759

216 (4.54)

1.01

Injuries with open wounds

10 636

443 (4.17)

2.07

Mental disorders except alcohol and drug abuse

82 349

1745 (2.12)

8.15

Skin and subcutaneous tissue disorders

26 340

522 (1.98)

2.44

Symptoms, signs and ill-defined conditions

102 434

1595 (1.56)

7.45

Endocrine, metabolic, nutritional, immune disorders except diabetic ketoacidosis

40 787

633 (1.55)

2.96

Infectious diseases except tuberculosis

17 965

242 (1.35)

1.13

Trauma, injury and poisoning*

117 929

1473 (1.25)

6.88

Respiratory disorders

138 875

1445 (1.04)

6.75

Hematologic disorders

13 591

129 (0.95)

0.60

Digestive disorders except alcohol-related liver conditions

215 693

2034 (0.94)

9.50

Neurologic disorders

41 637

332 (0.80)

1.55

Circulatory disorders

251 132

1921 (0.76)

8.97

Musculoskeletal system disorders

91 921

607 (0.66)

2.83

Complications of pregnancy, childbirth and the puerperium

355 735

2227 (0.63)

10.40

Genitourinary disorders

115 034

697 (0.61)

3.25

All other diagnoses and categories

127 860

670 (0.52)

3.15

Neoplasms

118 692

358 (0.30)

1.67

Totals:

1 916 104

21 417 (1.11)

100.0

  1. *Except for intracranial injuries without skull fracture, injuries with open wounds, and poisonings by pharmaceuticals or alcohol.