Screening for coagulation disorders in adolescents with abnormal uterine bleeding.
J Pediatr Adolesc Gynecol
; 21(1): 27-30, 2008 Feb.
Article
en En
| MEDLINE
| ID: mdl-18312797
ABSTRACT
STUDY OBJECTIVE:
To determine if screening for coagulation disorders was routinely performed during the evaluation of adolescents with abnormal uterine bleeding.DESIGN:
A retrospective chart review. Data were analyzed using the chi-square test. P < 0.05 was considered significant.SETTING:
Outpatient clinics of an academic center.PARTICIPANTS:
Eligible charts of patients age eighteen years and under with abnormal uterine bleeding who were evaluated either by pediatric gynecologists, gynecologists, or pediatricians.INTERVENTIONS:
A chart review. MAIN OUTCOMEMEASURES:
Data on provider type, documented patient history and laboratory tests ordered.RESULTS:
In our review, 43% (n= 36) of patients were evaluated by gynecologists, 38% (n=32) by pediatricians and 19% (n=16) by pediatric gynecologists. The mean age of patients whose charts were reviewed was 15 years. Overall 36.6% (n=30) of providers indicated that they screened for a bleeding disorder by documenting at least one screening question in the patient's history. There was a significant difference among providers with 68.8% (n=11) of pediatric gynecologists documenting at least one screening question, compared to 31.4% (n=11) of gynecologists and 25.8% (n=8) of pediatricians (P < 0.05). Overall 14.6% (n=12) of subjects were screened for a coagulation disorder with laboratory testing.CONCLUSIONS:
The majority of adolescents with abnormal uterine bleeding were not screened for bleeding disorders. The frequency of evaluation for blood dyscrasias varied by specialty.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Trastornos de la Coagulación Sanguínea
/
Menorragia
/
Metrorragia
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
Idioma:
En
Revista:
J Pediatr Adolesc Gynecol
Asunto de la revista:
GINECOLOGIA
/
PEDIATRIA
Año:
2008
Tipo del documento:
Article
País de afiliación:
Estados Unidos