title: [Gynecological emergencies: A prospective study about patients purpose of consultation and outcome].
abstract: OBJECTIVE
  Aiming to evaluate the profile type, complaint and outcome of patients consulting a gynecologic emergency unit in order to enhance "real" emergencies and improve their management.
  
  
  METHODS
  We enrolled prospectively 308 women consulting to Reims teaching hospital gynecologic emergency unit from the 15th of May to the 25th of June 2013.
  
  
  RESULTS
  Two hundred and fifty-seven women (83.4%) spontaneously consulted without previous medical examination. Two hundred and thirty-eight of them (77.3%) had already been through gynecologic emergency units and 99 (32.1%) had no regular follow-up. Pelvic pain and/or metrorragia were registered as main complaint for 219 patients (71.1%). Median age was thirty years old (±11) and an average forty-minute wait was recorded. Gynecologic ultrasound was the first exam to be performed after clinical examination for 255 patients (82.8%). Twenty-two (7.1%) were hospitalized for surgical procedures or medical care, respectively 10 (3.2%) and 12 (3.9%). Among 51 women addressed by another healthcare professional, 9 were hospitalized (17.6%) versus 12 hospitalized (4.7%) out of 257, when consulting without initial professional expertise. A significant relationship between hospitalizations and general practitioner consultation was found with an OR=4.34 (95%CI: 1.51-12.05, P=0.002). Main motive of consultation involving home treatment turned out to be on-going pregnancies (92 patients, 29.9%).
  
  
  CONCLUSIONS
  A large majority of gynecologic hospital consultations, responsible for time waste and professional monopolizing, can be treated by general practitioners and could contribute to a better management of life-threatening emergencies.
authors.affiliation: Service de gynécologie-obstétrique, institut Mère-Enfant Alix-de-Champagne, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims cedex, France. Electronic address: jeremycalvo@yahoo.fr.
authors.forename: J
authors.initials: J
authors.lastname: Calvo
authors.affiliation: Service de gynécologie-obstétrique, institut Mère-Enfant Alix-de-Champagne, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: M A
authors.initials: MA
authors.lastname: Louges
authors.affiliation: Département de santé publique, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Sanchez
authors.affiliation: Service de gynécologie-obstétrique, institut Mère-Enfant Alix-de-Champagne, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Lipere
authors.affiliation: Service de gynécologie-obstétrique, institut Mère-Enfant Alix-de-Champagne, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: L
authors.initials: L
authors.lastname: Duminil
authors.affiliation: Service de gynécologie-obstétrique, institut Mère-Enfant Alix-de-Champagne, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims cedex, France.
authors.forename: O
authors.initials: O
authors.lastname: Graesslin
mesh_terms: D000328:Adult; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006782:Hospitals, Special / Q000706:statistics & numerical data*; D006801:Humans; D008796:Metrorrhagia / Q000175:diagnosis*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D017699:Pelvic Pain / Q000175:diagnosis*; D011446:Prospective Studies; D012017:Referral and Consultation; D055815:Young Adult
keywords: Douleurs pelviennes; Gynecological emergencies; Metrorragia; Médecin référent; Métrorragies; Pelvic pain; Referent physician; Urgences gynécologiques