PMID- 20508737
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20110714
LR  - 20211020
IS  - 1687-9597 (Electronic)
IS  - 1687-9589 (Print)
IS  - 1687-9597 (Linking)
VI  - 2010
DP  - 2010
TI  - Tuboovarian abscesses: is size associated with duration of hospitalization & 
      complications?
PG  - 847041
LID - 10.1155/2010/847041 [doi]
LID - 847041
AB  - 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, P = .02). Every 1 cm increase in abscess size as associated with an 
      increase in hospitalization by 0.4 days (P = .001). Abscesses greater than 8 cm 
      were associated with an increased risk of complications (P < .01). 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.
FAU - Dewitt, Jason
AU  - Dewitt J
AD  - Division of Clinical Research, Department of Obstetrics and Gynecology, 
      Washington University School of Medicine in St. Louis, St. Louis, MO 63110, USA.
FAU - Reining, Angela
AU  - Reining A
FAU - Allsworth, Jenifer E
AU  - Allsworth JE
FAU - Peipert, Jeffrey F
AU  - Peipert JF
LA  - eng
GR  - K12 RR023249/RR/NCRR NIH HHS/United States
GR  - K24 HD001298/HD/NICHD NIH HHS/United States
GR  - KL2 RR024994/RR/NCRR NIH HHS/United States
GR  - UL1 RR024992/RR/NCRR NIH HHS/United States
PT  - Journal Article
DEP - 20100524
PL  - United States
TA  - Obstet Gynecol Int
JT  - Obstetrics and gynecology international
JID - 101517078
PMC - PMC2874918
EDAT- 2010/05/29 06:00
MHDA- 2010/05/29 06:01
PMCR- 2010/05/24
CRDT- 2010/05/29 06:00
PHST- 2009/11/13 00:00 [received]
PHST- 2010/03/14 00:00 [revised]
PHST- 2010/03/15 00:00 [accepted]
PHST- 2010/05/29 06:00 [entrez]
PHST- 2010/05/29 06:00 [pubmed]
PHST- 2010/05/29 06:01 [medline]
PHST- 2010/05/24 00:00 [pmc-release]
AID - 10.1155/2010/847041 [doi]
PST - ppublish
SO  - Obstet Gynecol Int. 2010;2010:847041. doi: 10.1155/2010/847041. Epub 2010 May 24.