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Titolo:
EFFICACY OF TRANSABDOMINAL ULTRASOUND EXAMINATION IN THE DIAGNOSIS OFEARLY-PREGNANCY COMPLICATIONS IN AN EMERGENCY DEPARTMENT
Autore:
WONG TW; LAU CC; YEUNG A; LO L; TAI CM;
Indirizzi:
PAMELA YOUDE NETHERSOLE EASTERN HOSP,DEPT ACCID & EMERGENCY,3 LOK MANRD CHAI WAN HONG KONG PAMELA YOUDE NETHERSOLE EASTERN HOSP,DEPT OBSTET & GYNAECOL CHAI WAN HONG KONG
Titolo Testata:
Journal of accident & emergency medicine
fascicolo: 3, volume: 15, anno: 1998,
pagine: 155 - 158
SICI:
1351-0622(1998)15:3<155:EOTUEI>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
ECTOPIC PREGNANCY; PHYSICIANS;
Keywords:
ECTOPIC PREGNANCY; PREGNANCY COMPLICATIONS, ULTRASOUND;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
12
Recensione:
Indirizzi per estratti:
Citazione:
T.W. Wong et al., "EFFICACY OF TRANSABDOMINAL ULTRASOUND EXAMINATION IN THE DIAGNOSIS OFEARLY-PREGNANCY COMPLICATIONS IN AN EMERGENCY DEPARTMENT", Journal of accident & emergency medicine, 15(3), 1998, pp. 155-158

Abstract

Objective - To assess the value of ultrasound in an emergency department in the diagnosis of early pregnancy complications, the efficacy ofa study protocol in identifying ectopic pregnancies, and the agreement on ultrasound findings among emergency department staff and gynaecologists. Methods - All women presenting with early pregnancy complications had a transabdominal ultrasound scan performed by the attending doctor and checked by a senior doctor. The ultrasound findings were classified as normal intrauterine pregnancy (IUP), probable abnormal pregnancy, definite ectopic pregnancy, no definite IUP, and other. Women with clinical and ultrasound findings compatible with threatened abortion were referred to a gynaecologist, or were admitted if findings suggested abnormal or ectopic pregnancy, or if a definite IUP could not be confirmed on ultrasound scan. For patients who were admitted or referred, a transvaginal ultrasound scan was performed by the attending gynaecologist. The findings of the gynaecologist were used as the gold standard. Results - 151 cases were enrolled during a four month study period. Ultrasound findings in the emergency department included definiteIUP in 95 (63%), probable abnormal IUP in 20 (13%), no definite IUP in 23 (21%), and other findings in four (3%). For evaluating the presence or absence of IUP, sensitivity of the initial scan was 82% (95% confidence interval 76% to 88%) and specificity 92% (88% to 96%). Agreement between junior and senior emergency department doctors on their ultrasound findings was 81% (75% to 87%) and between emergency departmentAccident and senior staff and gynecologists 85% (79% to Emergency 91%). The diagnoses made in the emergency department were thought to be compatible with the final assessments by gynaecologist in 72% (65% to 79%). Using either no definite IUP or other findings as a positive screening test for ectopic pregnancy, the sensitivity, specificity, positive predictive value, and negative predictive value were 80% (74% to 86%), 78% (71% to 85%), 12% (7% to 17%), and 99% (97% to 100%), respectively. Conclusions - Transabdominal ultrasound performed in the emergency department is useful in screening for early pregnancy complications. Ectopic pregnancy should be suspected when no IUP is found on preliminary scanning.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/09/20 alle ore 14:15:34