Surgical Intervention in Patients with Tubo-Ovarian Abscess: Clinical Predictors and a Simple Risk Score

Fouks, Yuval; Cohen, Aviad; Shapira, Udi; Solomon, Neta; Almog, Benny; Levin, Ishai

doi:10.1016/j.jmig.2018.06.013

Cited by 43 publications

(46 citation statements)

References 26 publications

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“…We observed higher mean values for WBCs, CRP, and ESR (all inflammatory markers) in the surgical intervention group than in the conservative group. The frequency of fever above 38℃ and peak fever during admission were not statistically different between the groups, which accords with the results of previous studies (11) (14). To our knowledge, this is the first report of the value of inflammatory markers obtained during hospitalization for predicting antibiotic treatment failure in patients with TOA.…”

Section: Discussionsupporting

confidence: 91%

“…Early surgical intervention can reduce morbidity and mortality in TOA patients who do not respond to antibiotics. Several studies of demographic and clinical characteristics associated with antibiotic treatment failure in TOA patients have shown that the TOA size and age of the patient are significantly related and proportional to the need for surgical treatment (6)(7)(8)(9)(10)(11). Early recognition of a patient's risk of antibiotic treatment failure alerts clinicians to the need to change the treatment strategy, thereby reducing acute and long-term complications of TOA.…”

Section: Discussionmentioning

confidence: 99%

“…Most of these studies were evaluated based on the patient's clinical characteristics on the day of admission (10,11). However, some patients who did not have a fever on the day of hospitalization may have had a fever later.…”

Section: Discussionmentioning

confidence: 99%

“…Simultaneous consideration of multiple variables can improve predictability. Fouks et al scored risk by weighting age at hospitalization (> 35 years), abscess size (≥ 70 mm), WBC count (> 16,000/mm 3 ), and bilaterality (11). They excluded the CRP value because it was not significant in the univariate analysis.…”

Section: Discussionmentioning

confidence: 99%

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The prediction of surgical intervention in patients with tubo-ovarian abscess

Hwang

Kim

2020

Preprint

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Background: The prediction of antibiotic treatment failure is helpful to identify patients with a high likelihood of needing surgical treatment early in patients diagnosed with tubo-ovarian abscess (TOA). The aim of this study was to compare the clinical characteristics of patients with TOA) who responded to medical treatment and those who underwent surgical intervention due to medical treatment failure. Material and Methods: Electronic medical records were evaluated retrospectively to identify patients who were diagnosed with TOA and hospitalized in our obstetrics and gynecology department between March 2014 and June 2019. Demographic, clinical, and laboratory data including white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) were compared between the medical treatment group and the surgical intervention group. Logistic regression was used to determine the independent predictors of treatment failure. Results: Patient age, TOA diameter, WBC count, CRP, and ESR were significantly different between the groups. On multiple regression analysis, significant correlations were identified between age ( p = 0.001), ESR ( p = 0.045), and failure of medical treatment. TOA diameter ( p = 0.065) showed a borderline association with surgical intervention. The risk group was defined as the combination of factors producing a risk score > 2. The area under the curve (AUC) for the risk group (age >34.3 years, ESR > 45 mm/h, and TOA size > 5.9 cm) was 0.844. The sensitivity, specificity, accuracy, PPV, and NPV were 93.8%, 75%, 83.3%, 75%, and 93.8%, respectively. Conclusions: The risk of needing surgical intervention in TOA patients can be predicted using ESR in addition to age and TOA size as risk factors.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The prediction of surgical intervention in patients with tubo-ovarian abscess

Hwang

Kim

2020

Preprint

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“…Jika abses ruptur, dapat terjadi sepsis yang mengancam jiwa sehingga kekhawatiran klinis untuk diagnosis ini memerlukan evaluasi dan pengobatan segera. [1][2][3] Abses tubo-ovarium paling sering ditemukan pada wanita usia reproduksi dan hampir 60% wanita dengan TOA adalah nulipara. Sebelum tahun 2002, 20% dari kasus PID yang dirawat di rumah sakit disertai dengan TOA.…”

Section: Pendahuluanunclassified

Tubo-Ovarian Abscess: in Dr. Zainoel Abidin Banda Aceh Hospital: a Case Report

et al. 2020

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Background: Blood transfusion is an important part of modern health services. When used properly, transfusion can save patient’s life and improve health. Blood transfusion has risk of transmitted infectious diseases through blood transfusion (TTI) especially HIV / AIDS, Hepatitis C, Hepatitis B, and Syphilis, and Malaria, Dengue Fever (DHF) can only be done in endemic areas, as well as other transfusions which can be life threatening.Method: This was descriptive study with cross sectional approach and sampling techniques using secondary data with total population method. From the sample of 23,875 samples (12,305 (2017) and 11,573 (2018)), it was seen which results of TTI reactive from donor data to be included in finding research objects. Results: In 2017 HbSAg reactive TTI parameters 1.7%, Anti HCV 0.5%, HIV Ag / Ab 0.7%, and Treponema 4% and TTI reactive results in donors in 2018 HbSAg parameters 1.3%, Anti HCV 0.3%, HIV Ag / Ab 0.25% and Treponema 2.2%. Comparison of donor TTI screening results in Blood Center of North Aceh-Indonesia in the period 2017-2018 changes in the ratio of TTI reactive numbers in the HbSAg parameter of 0.4%, Anti HCV 0.2%, HIV Ag / Ab 0.45% and Treponema 1.8% in period 2018.Conclusion: Although the reactive rate in 2017 is relatively high, in 2018 the reactive TTI level shows a decline. This condition can be caused by two factors. ; (1) Implementation of donor selection was good with good data collection and documentation system. (2) The inspection method carried out affects the results of the existing inspection.

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Gynecologic Surgery

Klein¹

2022

Surgical Critical Care and Emergency Surgery

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Surgical Intervention in Patients with Tubo-Ovarian Abscess: Clinical Predictors and a Simple Risk Score

Cited by 43 publications

References 26 publications

The prediction of surgical intervention in patients with tubo-ovarian abscess

The prediction of surgical intervention in patients with tubo-ovarian abscess

Tubo-Ovarian Abscess: in Dr. Zainoel Abidin Banda Aceh Hospital: a Case Report

Gynecologic Surgery

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