顾问对高危妊娠护理的贡献。
Contribution of consultants to care of compromised pregnancies.
作者信息
Bird J S, Taslimi M M, Gonzales A R, Duggan M
机构信息
Department of Obstetrics and Gynecology, University of Tennessee College of Medicine, Chattanooga, TN 37403, USA.
出版信息
J Natl Med Assoc. 1996 Feb;88(2):97-100.
Obstetricians often seek consultative services of other specialists in the management of compromised pregnancies. However, the extent of such consultations and the contribution of these consultants have not been addressed in the literature. This study is addresses the contribution of consultants to the care of complicated pregnancies at a tertiary care center. During the 2 1/2 years of this retrospective study, 2263 antepartum admissions were made for pregnancy complications. One hundred sixty-six of those patients were hospitalized 176 times and were treated by one or more consulting physicians for a consultation rate of 7.8%. Eighteen specialties were consulted, including 54 (32%) consultations from maternal fetal medicine, 44 (24%) from internal medicine, 28 (16%) from general surgery, and 22 (12%) from endocrinology. Of the initial admission diagnoses, 87.9% were confirmed and 46 new diagnoses were made by the consultants. A significant positive correlation was noted between the number of consultants, maternal length of hospital stay, and maternal hospitalization cost.
产科医生在处理高危妊娠时经常寻求其他专科医生的咨询服务。然而，此类咨询的范围以及这些顾问的贡献在文献中尚未得到探讨。本研究旨在探讨顾问对三级医疗中心复杂妊娠护理的贡献。在这项回顾性研究的两年半时间里，因妊娠并发症进行了2263例产前入院治疗。其中166例患者住院176次，并接受了一名或多名会诊医生的治疗，会诊率为7.8%。共咨询了18个专科，包括母胎医学会诊54次（32%）、内科会诊44次（24%）、普通外科会诊28次（16%）和内分泌会诊22次（12%）。在最初的入院诊断中，87.9%得到了确诊，会诊医生做出了46项新诊断。会诊医生数量、产妇住院时间和产妇住院费用之间存在显著的正相关。
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