Management of women referred to an acute gynecology unit: impact of an ultrasound-based model of care.

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dc.contributor.author Bignardi, T.
dc.contributor.author Burnet, S.
dc.contributor.author Alhamdan, D.
dc.contributor.author Lu, Chuan
dc.contributor.author Pardey, J.
dc.contributor.author Benzie, R.
dc.contributor.author Condous, George
dc.date.accessioned 2011-06-06T08:54:04Z
dc.date.available 2011-06-06T08:54:04Z
dc.date.issued 2011-06-06
dc.identifier.citation Bignardi , T , Burnet , S , Alhamdan , D , Lu , C , Pardey , J , Benzie , R & Condous , G 2011 , ' Management of women referred to an acute gynecology unit: impact of an ultrasound-based model of care. ' Ultrasound in Obstetrics and Gynecology , vol 35 , no. 3 , pp. 344-348 . en
dc.identifier.issn 1469-0705
dc.identifier.other PURE: 166034
dc.identifier.other dspace: 2160/6916
dc.identifier.uri http://hdl.handle.net/2160/6916
dc.description T. Bignardi, S. Burnet, D. Alhamdan, C. Lu, J. Pardey, R. Benzie, G. Condous, Management of women referred to an acute gynaecology unit: impact of an ultrasound based model of care for women with acute gynaecological complications, Untrasound in Obstetrics and Gynecology, 35(3), 2010, pp 344-348. en
dc.description.abstract OBJECTIVE: To assess the impact of the introduction of an ultrasound-based model of care for women with acute gynecological complications. METHODS: This was a prospective comparative study of women attending an ultrasound-based acute gynecology unit (AGU) at the Nepean Hospital during a 6-week period 4 months after the unit's inception (new model of care), and a group of women presenting at the hospital during a similar period 6 months immediately prior to the unit's inception (traditional model). In the new model of care, ultrasound was performed at the time of the initial assessment by a senior clinician. The main outcome measures were admission rates and occupied bed days. RESULTS: The study included 290 consecutive women with complete data, 133 before and 157 after the introduction of the AGU. Compared with the group presenting before establishment of the AGU, the group who attended the AGU had significantly lower admission rate (7% vs. 36%, P <0.0001) and significantly shorter time to see a trainee gynecologist (mean, 172 vs. 205 min, P = 0.00089), time to ultrasound examination (mean, 199 vs. 533 min, P <0.0001), length of stay as an outpatient (mean, 45 vs. 248 min, P <0.0001), fewer occupied bed days (total, 30 vs. 85 days, P <0.0001) and lower surgical intervention rates (12% vs. 29%, P = 0.00025). They also had significantly higher expectant management rate (26 vs. 8%, P = 0.00023). The extrapolated annual reduction in occupied bed days represented a total financial saving of $ 257 617 Australian dollars. CONCLUSIONS: In the AGU, the availability of ultrasound carried out by a senior clinician with an interest in gynecological emergencies may lead to a reduction in admissions and improved outcomes. en
dc.format.extent 5 en
dc.language.iso eng
dc.relation.ispartof Ultrasound in Obstetrics and Gynecology en
dc.subject acute gynecology unit en
dc.subject emergency en
dc.subject transvaginal ultrasound en
dc.title Management of women referred to an acute gynecology unit: impact of an ultrasound-based model of care. en
dc.type Text en
dc.type.publicationtype Article (Journal) en
dc.identifier.doi http://dx.doi.org/10.1002/uog.7523
dc.contributor.institution Department of Computer Science en
dc.contributor.institution Computational Biology and Bioinformatics en
dc.description.status Peer reviewed en


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