Results of a national multicenter audit assessment of gynecologic history in surgical patients. Issue 2 (31st August 2017)

• Record Type: Journal Article
• Authors: Wilson, Michael S.J.; Powell‐Bowns, Matilda; Robertson, Andrew G.; Luhmann, Andreas; Richards, Colin H.
• Other Names: Hurley Rhona investigator.; El‐Medany Ahmed investigator.; Inwood Claire‐Louise investigator.; Mason Saskia investigator.; Gillan Angela S. investigator.; Williams Susan investigator.; Thomas Rachel investigator.; Maybin Bryan investigator.; Barry Carol investigator.; Rutherford Fiona investigator.; Prentice Graham investigator.; McKay Alastair C. investigator.; Crozier Joseph E. investigator.; Shearer Rosalyn D. investigator.; Sinclair Jenny investigator.; Brooke Eleanor investigator.; Coats Maria investigator.; Chong Terence investigator.; Yung Diana E. investigator.; Heller Naomi investigator.; Bisset Carly investigator.; Arthur Laura investigator.; Anderson Robert investigator.; Knight Katrina investigator.; Kay Christopher investigator.; Gillespie Michael investigator.; Davidson Caroline J. investigator.; Couves Adam investigator.; McGuire Carina investigator.; Alexander Peter investigator.; Inam Imran Z. investigator.; Maloney Jay investigator.; Simpson Nick investigator.; Gill Nina investigator.; Sharmini Sivarajah investigator.; Semple Ewan investigator.; Wilson Esther investigator.; Ewing Anne S. investigator.; Kent Frances investigator.; Young Adam investigator.; Dodds Naomi investigator.; Baggaley Alice investigator.; Ibrahim Bilal investigator.; Ibrahim Ibrahim investigator.;
• Is Part Of: International journal of gynaecology and obstetrics. Volume 139:Issue 2(2017)
• Page Start: 197
• Page End: 201
• Publication Date: 2017-08-31
• Subjects: Females of reproductive age -- Gynecological history -- Pregnancy status; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.12296
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Objective: To determine the adequacy of assessing gynecologic history for females of reproductive age (FRA) admitted to a general surgery department. Methods: The present prospective multicenter audit included FRA who were admitted for elective or emergency procedures to general surgery departments in Scotland between May 11 and May 25, 2015. Data were compared between patients who were admitted for elective and emergency treatment. Results: There were 530 FRA included from 18 centers, including 169 (31.9%) and 361 (68.1%) elective and emergency admissions, respectively. The date of last menstrual period was document for 203 (38.3%) patients, use of contraception for 149 (28.1%), sexual activity for 83 (15.7%), pregnancy status for 274 (51.7%), and the possibility of pregnancy for 237 (44.7%). A higher incidence of documented date of last menstrual period ( P= 0.002) and pregnancy status ( P< 0.001) were identified among emergency admissions, and the possibility of pregnancy was documented more commonly among elective admissions ( P< 0.001). Conclusions: Key factors required for gynecologic assessment were often not documented for FRA admitted to general surgery both as elective and emergency admissions. Surgical teams and medical undergraduates require educating regarding the importance of obtaining gynecologic history for all FRA. Abstract : The documentation of key elements of gynecologic history was inadequate for females of reproductive age admitted to general surgery as both elective and emergency patients.