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[早期妊娠门诊。设立及其对住院模式的影响]

[An outpatient unit for early pregnancy. Establishment and effects on the pattern of hospital admissions].

作者信息

Sørensen J L, Bødker B, Vejerslev L O

机构信息

Gynaekologisk obstetrisk afdeling, Amtssygehuset i Glostrup.

出版信息

Ugeskr Laeger. 1999 Jan 11;161(2):158-61.

PMID:9922700
Abstract

The aim of the study was to evaluate the effect of an assessment of complications in early pregnancy in an "early pregnancy unit" opened in May 1993. The purpose of the "early pregnancy unit" was to avoid routine admission of women with pain/bleeding in early pregnancy. All general practitioners were informed of the possibility of referring patients to examination and ultrasonography in the "early pregnancy unit" during daytime, instead of acute admission to the ward. Data was compiled from the hospital admission and the emergency unit register for the years 1992-1996. These showed that admissions for early pregnancy complications decreased from 714 (1992) to 315 (1996) accounting for 41% (1992) and 16% (1996) of total admissions to the department, and 23% (1992) and 10% (1996) of the numbers of deliveries, respectively. Women referred between 00:00 hours and 7 a.m. accounted for 23% (1992) and 9% of admissions of total admissions or of deliveries (1996). It is concluded that initiation of the early pregnancy assessment unit resulted in a reduction in the number of admissions. The hospital staff experienced a reduced workload during the night.

摘要

本研究的目的是评估1993年5月开设的“早孕单元”对早孕并发症评估的效果。“早孕单元”的目的是避免对早孕期间出现疼痛/出血的女性进行常规住院治疗。所有全科医生都被告知,在白天,可将患者转至“早孕单元”进行检查和超声检查,而不是急诊入院。数据来自1992 - 1996年的医院入院记录和急诊室登记册。这些数据显示,早孕并发症的入院人数从1992年的714例降至1996年的315例,分别占该科室总入院人数的41%(1992年)和16%(1996年),以及分娩人数的23%(1992年)和10%(1996年)。凌晨0点至7点转诊的女性分别占总入院人数或分娩人数的23%(1992年)和9%(1996年)。结论是,早孕评估单元的设立导致入院人数减少。医院工作人员夜间的工作量也有所减少。

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引用本文的文献

1
The Sustained Value of an Early Pregnancy Assessment Clinic in the Management of Early Pregnancy Complications: A 10-Year Retrospective Study.早期妊娠评估诊所对早期妊娠并发症管理的持续价值:一项10年回顾性研究
J Obstet Gynaecol Can. 2018 Aug;40(8):1017-1023. doi: 10.1016/j.jogc.2017.12.002.