Prehospital Incidence of Obstetric and Gynecologic Emergencies - A Retrospective Cohort Analysis

Conditions: O80
N94
R10.0
Single spontaneous delivery
Pain and other conditions associated with female genital organs and menstrual cycle
Acute abdomen

Registration Number: DRKS00034595

Lead Sponsor: niversitätsklinikum Ulm, Klinik für Anästhesiologie und Intensivmedizin, Sektion Notfallmedizin

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: Female

Target Recruitment: 1246

Inclusion Criteria

All emergency medical interventions with a suspected gynecological or obstetric diagnosis

Suspected gynecological diagnosis documented in the EPRO-5.1-ABCDE (MIND 3.1) Operational Protocol (ITEM 4. Gynecologic/obstetric diagnosis: pregnancy > 35 weeks gestation, delivery, ectopic pregnancy, eclampsia, vaginal bleeding, other).

Patients with a diagnosis of acute abdomen are included for differential diagnosis and manually assessed.

Patients aged 12 to 45 years with a suspected diagnosis of pulmonary embolism or hypertensive derailment/hypertensive emergency are primarily included and manually evaluated as a possible concomitant disease of pregnancy (increased risk of thromboembolism, pregnancy-associated hypertension - eclampsia).

Exclusion Criteria

All non-gynecological/obstetric diagnoses except acute abdomen, pulmonary embolism, hypertension.

Study & Design

Study Type: observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Incidence of prehospital gynecologic and/or obstetric emergencies in the patient population and time period studied?

Secondary Outcome Measures

Name	Time	Method
Prehospital medications used in gynecologic/obstetric emergencies (type and dosage)<br><br>Average duration of intervention <br><br>Diagnostic quality of suspected emergency diagnosis compared with gynecologic/obstetric specialist diagnosis<br><br>Comparison of prehospital risk assessment using the NACA score (National Advisory Committee for Aeronautics - score for classifying the severity of illness and injury in the prehospital setting) with the severity of illness recorded in the emergency department.