Your browser doesn't support javascript.
loading
A dedicated ectopic pregnancy team leads to an improvement in patients' management.
Lavery, Stuart; El-Shawarby, Salem A; Cloke, Brianna; Margara, Raul; Trew, Geoffrey.
Afiliación
  • Lavery S; Department of Reproductive Medicine and Surgery, Hammersmith Hospital, Imperial College School of Medicine, Du Cane Road, London W12 OHS, UK.
Arch Gynecol Obstet ; 275(6): 475-9, 2007 Jun.
Article en En | MEDLINE | ID: mdl-17514374
INTRODUCTION: The aim of the study is to determine whether a dedicated ectopic pregnancy team improves the management of haemodynamically stable patients with suspected ectopic pregnancy who do not require immediate life-saving surgery. METHODS: A non-randomized population based study involving 210 patients admitted with a suspected ectopic pregnancy over a 2-year period in a university teaching hospital in the UK, was carried out to compare the management of those women before and after the introduction of the ectopic pregnancy team. RESULTS: Following the introduction of an ectopic pregnancy team, there were fewer laparotomies performed, fewer negative diagnostic laparoscopies, a reduced overall surgical intervention rate, and a reduced duration of hospital stay. Although, it was difficult to quantify the extent of improvement of training, yet there were fewer operations performed out-of-hours, more continuity of care, more learning opportunities and acquisition of laparoscopic skills of junior staff. CONCLUSIONS: The introduction of an ectopic pregnancy team led to an improvement in the management of patients with suspected ectopic pregnancies. Efforts aiming at setting up such a specialized team and its implementation in day-to-day clinical practice should be considered in hospitals where the mainstay of treatment remains laparotomy.
Asunto(s)
Buscar en Google
Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Embarazo Ectópico / Atención a la Salud Tipo de estudio: Observational_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Arch Gynecol Obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2007 Tipo del documento: Article
Buscar en Google
Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Embarazo Ectópico / Atención a la Salud Tipo de estudio: Observational_studies Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Arch Gynecol Obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2007 Tipo del documento: Article