Gynaecological pathologies leading to emergency department admissions: A cross-sectional study
Knowing the population’s needs in order to plan measures to reduce emergency department (ED) use is fundamental. The objective of this study was to describe gynaecological ED visits and associated findings in women of reproductive age. This study was a retrospective anonymized chart review analysis...
Gespeichert in:
| Veröffentlicht in: | European journal of obstetrics & gynecology and reproductive biology 2023-03, Vol.282, p.38-42 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 42 |
|---|---|
| container_issue | |
| container_start_page | 38 |
| container_title | European journal of obstetrics & gynecology and reproductive biology |
| container_volume | 282 |
| creator | Xholli, Anjeza Londero, Ambrogio Pietro Camacho Mattos, Ludovica Vujosevic, Sonja Cagnacci, Angelo |
| description | Knowing the population’s needs in order to plan measures to reduce emergency department (ED) use is fundamental. The objective of this study was to describe gynaecological ED visits and associated findings in women of reproductive age.
This study was a retrospective anonymized chart review analysis of visits to the ED for gynaecological disturbances at the University Hospital of Modena. All consecutive women of reproductive age were included. Women aged |
| doi_str_mv | 10.1016/j.ejogrb.2023.01.006 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2765071289</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0301211523000064</els_id><sourcerecordid>2765071289</sourcerecordid><originalsourceid>FETCH-LOGICAL-c362t-973c293c2d7a42e9f2db5d7844b911bdb5735b9bb0b1488ddaae09982393aaca3</originalsourceid><addsrcrecordid>eNp9kEtLAzEQx4Motla_gcgeveyax77iQShFq1DwoldDHtM1ZXdTk63Qb2_60KMDwzDDf14_hK4Jzggm5d0qg5VrvMoopizDJMO4PEFjUlc0rcoiP0VjzDBJKSHFCF2EsMLRGOPnaMTKkuGaVGP0Md_2ErRrXWO1bJO1HD73CYSkBWls3ySDS6AD30Cvt4mBtfRDB_2QSNPZEKzrw30yTbR3IaQB9BArcVIYNmZ7ic6Wsg1wdYwT9P70-DZ7Thev85fZdJFqVtIh5RXTlEc3lcwp8CU1qjBVneeKE6JiUrFCcaWwInldGyMlYM5ryjiTUks2QbeHuWvvvjYQBhFP09C2sge3CYJGIrgitOZRmh-k-4M9LMXa2076rSBY7MiKlTiQFTuyAhMRyca2m-OGjerA_DX9ooyCh4MA4p_fFrwI2kZkYKyPUIRx9v8NP2JhjYw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2765071289</pqid></control><display><type>article</type><title>Gynaecological pathologies leading to emergency department admissions: A cross-sectional study</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Xholli, Anjeza ; Londero, Ambrogio Pietro ; Camacho Mattos, Ludovica ; Vujosevic, Sonja ; Cagnacci, Angelo</creator><creatorcontrib>Xholli, Anjeza ; Londero, Ambrogio Pietro ; Camacho Mattos, Ludovica ; Vujosevic, Sonja ; Cagnacci, Angelo</creatorcontrib><description>Knowing the population’s needs in order to plan measures to reduce emergency department (ED) use is fundamental. The objective of this study was to describe gynaecological ED visits and associated findings in women of reproductive age.
This study was a retrospective anonymized chart review analysis of visits to the ED for gynaecological disturbances at the University Hospital of Modena. All consecutive women of reproductive age were included. Women aged <18 years and postmenopausal women were excluded from this study.
In total, 461 records were analysed. The median age was 41 (interquartile range 34–46) years. The most common symptom was dysmenorrhoea (42.7 %), followed by heavy menstrual bleeding (33.2 %). The most common gynaecological findings in the ED were adenomyosis (86.1 %), endometriosis (37.1 %) and leiomyomas (13.7 %). Adenomyosis was the most common finding, regardless of age. Endometriosis was more prevalent in women aged <41 years (43.8 % vs 31.2 %; p < 0.05). Meanwhile, adenomyosis and leiomyomas were more prevalent in women aged ≥41 years (81.11 % vs 90.57 % and 7.37 % vs 19.26 %, respectively; p < 0.05). Moreover, potentially life-threatening findings had low prevalence [i.e. haemorrhagic ovarian cyst (0.2 %), tubo-ovarian abscess (0.2 %) and pelvic inflammatory disease (0.4 %)].
In the study setting, chronic pathologies such as adenomyosis, endometriosis and leiomyomas significantly impacted use of the ED. Adenomyosis was the most common pathology, regardless of age. Adenomyosis and leiomyomas were more prevalent in women aged ≥41 years, and endometriosis was more prevalent in women aged <41 years.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/j.ejogrb.2023.01.006</identifier><identifier>PMID: 36630817</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adenomyosis ; Adenomyosis - pathology ; Adult ; Cross-Sectional Studies ; Dysmenorrhoea ; Emergency department ; Endometriosis ; Endometriosis - complications ; Endometriosis - diagnosis ; Endometriosis - epidemiology ; Female ; Heavy menstrual bleeding ; Humans ; Leiomyoma - diagnosis ; Leiomyoma - epidemiology ; Leiomyomas ; Middle Aged ; Pelvic pain ; Retrospective Studies ; Uterine Neoplasms - complications ; Uterine Neoplasms - diagnosis ; Uterine Neoplasms - epidemiology</subject><ispartof>European journal of obstetrics & gynecology and reproductive biology, 2023-03, Vol.282, p.38-42</ispartof><rights>2023 Elsevier B.V.</rights><rights>Copyright © 2023 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-973c293c2d7a42e9f2db5d7844b911bdb5735b9bb0b1488ddaae09982393aaca3</citedby><cites>FETCH-LOGICAL-c362t-973c293c2d7a42e9f2db5d7844b911bdb5735b9bb0b1488ddaae09982393aaca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0301211523000064$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36630817$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xholli, Anjeza</creatorcontrib><creatorcontrib>Londero, Ambrogio Pietro</creatorcontrib><creatorcontrib>Camacho Mattos, Ludovica</creatorcontrib><creatorcontrib>Vujosevic, Sonja</creatorcontrib><creatorcontrib>Cagnacci, Angelo</creatorcontrib><title>Gynaecological pathologies leading to emergency department admissions: A cross-sectional study</title><title>European journal of obstetrics & gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>Knowing the population’s needs in order to plan measures to reduce emergency department (ED) use is fundamental. The objective of this study was to describe gynaecological ED visits and associated findings in women of reproductive age.
This study was a retrospective anonymized chart review analysis of visits to the ED for gynaecological disturbances at the University Hospital of Modena. All consecutive women of reproductive age were included. Women aged <18 years and postmenopausal women were excluded from this study.
In total, 461 records were analysed. The median age was 41 (interquartile range 34–46) years. The most common symptom was dysmenorrhoea (42.7 %), followed by heavy menstrual bleeding (33.2 %). The most common gynaecological findings in the ED were adenomyosis (86.1 %), endometriosis (37.1 %) and leiomyomas (13.7 %). Adenomyosis was the most common finding, regardless of age. Endometriosis was more prevalent in women aged <41 years (43.8 % vs 31.2 %; p < 0.05). Meanwhile, adenomyosis and leiomyomas were more prevalent in women aged ≥41 years (81.11 % vs 90.57 % and 7.37 % vs 19.26 %, respectively; p < 0.05). Moreover, potentially life-threatening findings had low prevalence [i.e. haemorrhagic ovarian cyst (0.2 %), tubo-ovarian abscess (0.2 %) and pelvic inflammatory disease (0.4 %)].
In the study setting, chronic pathologies such as adenomyosis, endometriosis and leiomyomas significantly impacted use of the ED. Adenomyosis was the most common pathology, regardless of age. Adenomyosis and leiomyomas were more prevalent in women aged ≥41 years, and endometriosis was more prevalent in women aged <41 years.</description><subject>Adenomyosis</subject><subject>Adenomyosis - pathology</subject><subject>Adult</subject><subject>Cross-Sectional Studies</subject><subject>Dysmenorrhoea</subject><subject>Emergency department</subject><subject>Endometriosis</subject><subject>Endometriosis - complications</subject><subject>Endometriosis - diagnosis</subject><subject>Endometriosis - epidemiology</subject><subject>Female</subject><subject>Heavy menstrual bleeding</subject><subject>Humans</subject><subject>Leiomyoma - diagnosis</subject><subject>Leiomyoma - epidemiology</subject><subject>Leiomyomas</subject><subject>Middle Aged</subject><subject>Pelvic pain</subject><subject>Retrospective Studies</subject><subject>Uterine Neoplasms - complications</subject><subject>Uterine Neoplasms - diagnosis</subject><subject>Uterine Neoplasms - epidemiology</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEQx4Motla_gcgeveyax77iQShFq1DwoldDHtM1ZXdTk63Qb2_60KMDwzDDf14_hK4Jzggm5d0qg5VrvMoopizDJMO4PEFjUlc0rcoiP0VjzDBJKSHFCF2EsMLRGOPnaMTKkuGaVGP0Md_2ErRrXWO1bJO1HD73CYSkBWls3ySDS6AD30Cvt4mBtfRDB_2QSNPZEKzrw30yTbR3IaQB9BArcVIYNmZ7ic6Wsg1wdYwT9P70-DZ7Thev85fZdJFqVtIh5RXTlEc3lcwp8CU1qjBVneeKE6JiUrFCcaWwInldGyMlYM5ryjiTUks2QbeHuWvvvjYQBhFP09C2sge3CYJGIrgitOZRmh-k-4M9LMXa2076rSBY7MiKlTiQFTuyAhMRyca2m-OGjerA_DX9ooyCh4MA4p_fFrwI2kZkYKyPUIRx9v8NP2JhjYw</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Xholli, Anjeza</creator><creator>Londero, Ambrogio Pietro</creator><creator>Camacho Mattos, Ludovica</creator><creator>Vujosevic, Sonja</creator><creator>Cagnacci, Angelo</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202303</creationdate><title>Gynaecological pathologies leading to emergency department admissions: A cross-sectional study</title><author>Xholli, Anjeza ; Londero, Ambrogio Pietro ; Camacho Mattos, Ludovica ; Vujosevic, Sonja ; Cagnacci, Angelo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-973c293c2d7a42e9f2db5d7844b911bdb5735b9bb0b1488ddaae09982393aaca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adenomyosis</topic><topic>Adenomyosis - pathology</topic><topic>Adult</topic><topic>Cross-Sectional Studies</topic><topic>Dysmenorrhoea</topic><topic>Emergency department</topic><topic>Endometriosis</topic><topic>Endometriosis - complications</topic><topic>Endometriosis - diagnosis</topic><topic>Endometriosis - epidemiology</topic><topic>Female</topic><topic>Heavy menstrual bleeding</topic><topic>Humans</topic><topic>Leiomyoma - diagnosis</topic><topic>Leiomyoma - epidemiology</topic><topic>Leiomyomas</topic><topic>Middle Aged</topic><topic>Pelvic pain</topic><topic>Retrospective Studies</topic><topic>Uterine Neoplasms - complications</topic><topic>Uterine Neoplasms - diagnosis</topic><topic>Uterine Neoplasms - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xholli, Anjeza</creatorcontrib><creatorcontrib>Londero, Ambrogio Pietro</creatorcontrib><creatorcontrib>Camacho Mattos, Ludovica</creatorcontrib><creatorcontrib>Vujosevic, Sonja</creatorcontrib><creatorcontrib>Cagnacci, Angelo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xholli, Anjeza</au><au>Londero, Ambrogio Pietro</au><au>Camacho Mattos, Ludovica</au><au>Vujosevic, Sonja</au><au>Cagnacci, Angelo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gynaecological pathologies leading to emergency department admissions: A cross-sectional study</atitle><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>2023-03</date><risdate>2023</risdate><volume>282</volume><spage>38</spage><epage>42</epage><pages>38-42</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><abstract>Knowing the population’s needs in order to plan measures to reduce emergency department (ED) use is fundamental. The objective of this study was to describe gynaecological ED visits and associated findings in women of reproductive age.
This study was a retrospective anonymized chart review analysis of visits to the ED for gynaecological disturbances at the University Hospital of Modena. All consecutive women of reproductive age were included. Women aged <18 years and postmenopausal women were excluded from this study.
In total, 461 records were analysed. The median age was 41 (interquartile range 34–46) years. The most common symptom was dysmenorrhoea (42.7 %), followed by heavy menstrual bleeding (33.2 %). The most common gynaecological findings in the ED were adenomyosis (86.1 %), endometriosis (37.1 %) and leiomyomas (13.7 %). Adenomyosis was the most common finding, regardless of age. Endometriosis was more prevalent in women aged <41 years (43.8 % vs 31.2 %; p < 0.05). Meanwhile, adenomyosis and leiomyomas were more prevalent in women aged ≥41 years (81.11 % vs 90.57 % and 7.37 % vs 19.26 %, respectively; p < 0.05). Moreover, potentially life-threatening findings had low prevalence [i.e. haemorrhagic ovarian cyst (0.2 %), tubo-ovarian abscess (0.2 %) and pelvic inflammatory disease (0.4 %)].
In the study setting, chronic pathologies such as adenomyosis, endometriosis and leiomyomas significantly impacted use of the ED. Adenomyosis was the most common pathology, regardless of age. Adenomyosis and leiomyomas were more prevalent in women aged ≥41 years, and endometriosis was more prevalent in women aged <41 years.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>36630817</pmid><doi>10.1016/j.ejogrb.2023.01.006</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0301-2115 |
| ispartof | European journal of obstetrics & gynecology and reproductive biology, 2023-03, Vol.282, p.38-42 |
| issn | 0301-2115 1872-7654 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2765071289 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adenomyosis Adenomyosis - pathology Adult Cross-Sectional Studies Dysmenorrhoea Emergency department Endometriosis Endometriosis - complications Endometriosis - diagnosis Endometriosis - epidemiology Female Heavy menstrual bleeding Humans Leiomyoma - diagnosis Leiomyoma - epidemiology Leiomyomas Middle Aged Pelvic pain Retrospective Studies Uterine Neoplasms - complications Uterine Neoplasms - diagnosis Uterine Neoplasms - epidemiology |
| title | Gynaecological pathologies leading to emergency department admissions: A cross-sectional study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T22%3A05%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Gynaecological%20pathologies%20leading%20to%20emergency%20department%20admissions:%20A%20cross-sectional%20study&rft.jtitle=European%20journal%20of%20obstetrics%20&%20gynecology%20and%20reproductive%20biology&rft.au=Xholli,%20Anjeza&rft.date=2023-03&rft.volume=282&rft.spage=38&rft.epage=42&rft.pages=38-42&rft.issn=0301-2115&rft.eissn=1872-7654&rft_id=info:doi/10.1016/j.ejogrb.2023.01.006&rft_dat=%3Cproquest_cross%3E2765071289%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2765071289&rft_id=info:pmid/36630817&rft_els_id=S0301211523000064&rfr_iscdi=true |