Table.
Numbers and details of patients self-referring to OB-GYN ED during March 2019 and March 2020, with hospitalization rates. After reporting the total number of self-referrals, further analysis were made dividing patients in three categories: gynecological patients, obstetrical patients <16 weeks and obstetrical patients >16 weeks
| Self-referral |
Hospitalization |
||||||
|---|---|---|---|---|---|---|---|
| March 2019 (N=972) | March 2020 (N=484) | Reduction (%) | P value | March 2019 hospitalization (%) | March 2020 hospitalization (%) | P value | |
| Total number of patients referring to OB-GYN ED | |||||||
| Gynecologic | 330 | 112 | 66.1 | <.001 | 88 (26.7) | 38 (33.9) | .141 |
| Obstetrical <16 wk | 242 | 118 | 51.2 | <.001 | 56 (23.1) | 24 (20.3) | .548 |
| Obstetrical ≥16 wk | 400 | 254 | 36.5 | <.001 | 223 (55.8) | 164 (64.6) | .025 |
| Total | 972 | 484 | 50.2 | <.001 | 367/972 (37.7) | 226/484 (46.7) | .001 |
| March 2019 N=330 (%) |
March 2020 N=112 (%)a |
Reduction (%)b | P value | March 2019 hospitalization N=88 (%) | March 2020 hospitalization N=38 (%)c | P value | |
|---|---|---|---|---|---|---|---|
| Gynecologic patients | |||||||
| Vaginal bleeding | 85 (25.8) | 26 (23.2) | 69.4 | <.001 | 17 (20) | 12 (46.2) | .008 |
| Lower abdominal pain | 70 (21.2) | 26 (23.2) | 62.9 | <.001 | 23 (32.9) | 7 (26.9) | .577 |
| Vulvar conditions | 41 (12.4) | 17 (15.2) | 58.5 | .004 | 5 (12.2) | 5 (29.4) | .114 |
| Postpartum complications | 33 (10) | 15 (13.4) | 54.5 | .013 | 10 (30.3) | 4 (26.7) | .797 |
| Vaginal bleeding and lower abdominal pain | 20 (6.1) | 14 (12.5) | 30 | .311 | 5 (25) | 4 (28.6) | .816 |
| Vaginal discharge | 27 (8.2) | 6 (5.4) | 77.8 | .001 | 0 | 0 | — |
| Other | 54 (16.4) | 8 (7.1) | 85.2 | <.001 | 28 (51.9) | 6 (75) | .220 |
| March 2019 N=242 (%) |
March 2020 N=118 (%)a |
Reduction (%)b | P value | March 2019 hospitalization N=56 (%) | March 2020 hospitalization N=24 (%)c | P value | |
|---|---|---|---|---|---|---|---|
| Obstetrical patients <16 wk | |||||||
| Vaginal bleeding | 108 (44.6) | 56 (47.5) | 48.1 | <.001 | 14 (13) | 7 (12.5) | .933 |
| Vaginal bleeding and lower abdominal pain | 45 (18.6) | 32 (27.1) | 28.9 | .140 | 17 (37.8) | 9 (28.1) | .377 |
| Lower abdominal pain | 39 (16.1) | 17 (14.4) | 56.4 | .017 | 6 (15.4) | 3 (17.6) | .832 |
| Hyperemesis | 13 (5.4) | 2 (1.7) | 84.6 | .014 | 7 (53.8) | 0 | .155 |
| Other | 37 (15.3) | 11 (9.3) | 70.3 | <.001 | 12 (32.4) | 5 (45.5) | .428 |
| March 2019 N=400 (%) |
March 2020 N=254 (%)a |
Reduction (%)b | P value | March 2019 hospitalization N=223 (%) | March 2020 hospitalization N=164 (%)c | P value | |
|---|---|---|---|---|---|---|---|
| Obstetrical patients >16 wk | |||||||
| Painful uterine contraction or labor | 118 (29.5) | 79 (31.1) | 33 | .010 | 96 (81.4) | 56 (70.9) | .086 |
| Leaking amniotic fluid (PROM or suspected PROM) | 77 (19.3) | 53 (20.9) | 31.2 | .050 | 57 (74) | 49 (92.5) | .008 |
| Lower abdominal pain (not classified as labor) (<36 wk) | 50 (12.5) | 31 (12.2) | 38 | .037 | 9 (18) | 6 (19.4) | .879 |
| High blood pressure | 15 (3.8) | 22 (8.7) | 46.6 | .275 | 12 (80) | 20 (90.9) | .341 |
| Vaginal bleeding | 24 (6) | 18 (7.1) | 25 | .361 | 8 (33.3) | 1 (5.6) | .030 |
| Reduced fetal movements | 18 (4.5) | 10 (3.9) | 44.4 | .153 | 5 (27.8) | 6 (60) | .094 |
| Other | 98 (24.5) | 41 (16.1) | 58.2 | <.001 | 62 (63.4) | 15 (36.6) | .004 |
ED, emergency department; OB-GYN, obstetrics and gynecology; PROM, premature rupture of membranes.
Salsi. Obstetrics and gynecology emergencies during coronavirus disease 2019 pandemic. AJOG MFM 2020.
Total number of patients for each category in 2020 with percentage calculated over the total number of gynecologic patients for that month
reduction in percentage when compared with those in the same period in 2019
percentage of patients in this category admitted to hospital over the number of access for that reason during March 2020.