| A dedicated ectopic pregnancy team leads to an improvement in patients' management. | |
MedLine Citation:
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PMID: 17514374 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
Authors:
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Stuart Lavery; Salem A El-Shawarby; Brianna Cloke; Raul Margara; Geoffrey Trew |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2006-11-25 |
Journal Detail:
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Title: Archives of gynecology and obstetrics Volume: 275 ISSN: 0932-0067 ISO Abbreviation: Arch. Gynecol. Obstet. Publication Date: 2007 Jun |
Date Detail:
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Created Date: 2007-05-21 Completed Date: 2007-10-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8710213 Medline TA: Arch Gynecol Obstet Country: Germany |
Other Details:
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Languages: eng Pagination: 475-9 Citation Subset: IM |
Affiliation:
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Department of Reproductive Medicine and Surgery, Hammersmith Hospital, Imperial College School of Medicine, Du Cane Road, London W12 OHS, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Delivery of Health Care* Female Humans London Patient Care Team Pregnancy Pregnancy, Ectopic / diagnosis*, therapy Prospective Studies Retrospective Studies Urban Population |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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