Tuboovarian Abscesses: Is Size Associated with Duration of Hospitalization & ComplicationsReport as inadecuate




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Obstetrics and Gynecology InternationalVolume 2010 2010, Article ID 847041, 5 pages

Clinical StudyDivision of Clinical Research, Department of Obstetrics and Gynecology, Washington University School of Medicine in St. Louis, St. Louis, MO 63110, USA

Received 13 November 2009; Revised 14 March 2010; Accepted 15 March 2010

Academic Editor: John C. Morrison

Copyright © 2010 Jason DeWitt et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To evaluate the association between abscess size and duration of hospitalization and need for surgical intervention. Methods. We collected data from patients admitted with ICD-9 codes 614.9 PID and 614.2 TOA from January 1, 1999- December 31, 2005. We abstracted data regarding demographics, diagnostic testing-laboratory testing, imaging, treatment, and clinical course. Two abscess groups were created: 8 cm or 8 cm. Descriptive statistics were calculated, and duration of hospitalization and surgical intervention for women with large abscesses were compared to women with smaller collections. Results. Of the 373 charts reviewed, 135 had a TOA and 31% required management with drainage and-or surgery. The average abscess size for those treated successfully with conservative management was 6.3 cm versus those requiring drainage and-or surgery 7.7 cm, . Every 1 cm increase in abscess size as associated with an increase in hospitalization by 0.4 days . Abscesses greater than 8 cm were associated with an increased risk of complications . Conclusions. Larger tubo-ovarian abscesses are associated with an increased duration of hospitalization and more complications including an increased need for drainage or surgery. Additional research to determine the most efficacious antibiotic regimen management strategy is needed.





Author: Jason DeWitt, Angela Reining, Jenifer E. Allsworth, and Jeffrey F. Peipert

Source: https://www.hindawi.com/



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