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Table 1 Characteristics of the study population and laparoscopy diagnoses

From: Routine ultrasound examination by OB/GYN residents increase the accuracy of diagnosis for emergency surgery in gynecology

 

Overall population N=234

Surgical emergencies N=139

Benign emergencies N=95

Age in years, mean±SD

31.3 ± 7.0

31.9 ± 6.9

30.5 ± 7.1

Gravidity, median [range]

2 [0–9]

2 [0–9]

1 [0–6]*

Parity, median [range]

1 [0–6]

1 [0–6]

0 [0–4]*

Contraception, n (%)

65 (27.9)

37 (26.8)

28 (29.5)

Pain NRS score at admission, mean±SD

6.7 ± 2.6

6.9 ± 2.6

6.4 ± 2.5

Positive hCG test, n (%)

150 (64.1)

97 (69.8)

53 (55.8)

Laparoscopy diagnosis

   

Ectopic pregnancy, n (%)

136 (58.1)

91 (65.5)

45 (47.4)

Pelvic inflammatory disease, n (%)

31 (13.2)

25 (18.0)

6 (6.3)

Adnexal torsion, n (%)

15 (6.4)

15 (10.8)

NA

Appendicitis, n (%)

4 (1.7)

4 (2.9)

NA

Ruptured hemorrhagic cyst, n (%)

5 (3.0)

2 (1.4)

3 (5.3)

Other diagnosis, n (%)

36 (15.0)

2 (1.4)

34 (34.7)

Normal, n (%)

7 (2.6)

NA

7 (6.3)

  1. Surgical emergencies were ectopic pregnancies with tubal rupture or active bleeding or cardiac activity or hemoperitoneum over 300 mL; pelvic inflammatory disease complicated with pyosalpinx, tubo-ovarian abscess, or pelvic peritonitis; adnexal torsion; hemorrhagic ovarian cyst rupture with hemoperitoneum exceeding 300 mL; appendicitis; and intestinal obstruction.
  2. Benign emergencies were conditions expected to resolve spontaneously or with appropriate medical treatment.
  3. NRS, numerical rating scale for pain severity; hCG, human chorionic gonadotropin; NA, not applicable; SD, standard deviation; NRS, Numerical rating scale; hCG, serum human chorionic gonadotrophin; NA, not applicable.
  4. *P<0.05, Student’s t test; †P<0.05, Chi-square; ‡ Intestinal obstruction; ‡ uncomplicated ovarian cysts or intracystic hemorrhage.