Emergency surgical pathology in pregnant women and women in labor: analysis of the structure of morbidity and routing paths in St. Petersburg
Relevance. Today, despite the development of medical technologies and the improvement of the logistical aspects of healthcare, the problem of unified treatment, diagnostic and routing algorithms for pregnant women and women in labor with urgent surgical pathology remains unresolved. The first step t...
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| Format: | Article |
| Language: | Russian |
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Academician I.P. Pavlov First St. Petersburg State Medical University
2024-04-01
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| Series: | Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова |
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| Online Access: | https://www.sci-notes.ru/jour/article/view/988 |
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| author | D. N. Popov А. Yu. Korolkov V. F. Bezhenar L. А. Logvin S. F. Bagnenko |
| author_facet | D. N. Popov А. Yu. Korolkov V. F. Bezhenar L. А. Logvin S. F. Bagnenko |
| author_sort | D. N. Popov |
| collection | DOAJ |
| description | Relevance. Today, despite the development of medical technologies and the improvement of the logistical aspects of healthcare, the problem of unified treatment, diagnostic and routing algorithms for pregnant women and women in labor with urgent surgical pathology remains unresolved. The first step towards its solution is a detailed analysis of the current structure of incidence and routing paths.The objective was to analyze the incidence of urgent extragenital surgical pathology and routing paths in pregnant women and women in labor in St. Petersburg.Methods and materials. Based on the database of invoices issued by insurance organizations in St. Petersburg for completed cases of treatment, we performed a retrospective analysis of the data of pregnant patients with extragenital surgical pathology, hospitalized on an emergency basis in the period from 2019 to 2021. We assessed the structure of morbidity, terms of delivery to the hospital, indications and range of surgical interventions, treatment outcomes.Conclusions. In the structure of urgent and emergency hospitalizations in pregnant women, extragenital surgical pathology is 1 %. The total proportion of surgical interventions in patients with extragenital pathology is 35.1 %. Routing of a pregnant woman with suspected surgical pathology through the primary visit to the maternity hospital significantly increases (p<0.05) the average time to admission to the surgical hospital. > <0.05 ) the average time to admission to the surgical hospital. |
| format | Article |
| id | doaj-art-c1c7db5bf56242b788bbc996de2f5060 |
| institution | DOAJ |
| issn | 1607-4181 2541-8807 |
| language | Russian |
| publishDate | 2024-04-01 |
| publisher | Academician I.P. Pavlov First St. Petersburg State Medical University |
| record_format | Article |
| series | Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова |
| spelling | doaj-art-c1c7db5bf56242b788bbc996de2f50602025-08-20T03:00:36ZrusAcademician I.P. Pavlov First St. Petersburg State Medical UniversityУчёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова1607-41812541-88072024-04-01303101510.24884/1607-4181-2023-30-3-10-15646Emergency surgical pathology in pregnant women and women in labor: analysis of the structure of morbidity and routing paths in St. PetersburgD. N. Popov0А. Yu. Korolkov1V. F. Bezhenar2L. А. Logvin3S. F. Bagnenko4Pavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityRelevance. Today, despite the development of medical technologies and the improvement of the logistical aspects of healthcare, the problem of unified treatment, diagnostic and routing algorithms for pregnant women and women in labor with urgent surgical pathology remains unresolved. The first step towards its solution is a detailed analysis of the current structure of incidence and routing paths.The objective was to analyze the incidence of urgent extragenital surgical pathology and routing paths in pregnant women and women in labor in St. Petersburg.Methods and materials. Based on the database of invoices issued by insurance organizations in St. Petersburg for completed cases of treatment, we performed a retrospective analysis of the data of pregnant patients with extragenital surgical pathology, hospitalized on an emergency basis in the period from 2019 to 2021. We assessed the structure of morbidity, terms of delivery to the hospital, indications and range of surgical interventions, treatment outcomes.Conclusions. In the structure of urgent and emergency hospitalizations in pregnant women, extragenital surgical pathology is 1 %. The total proportion of surgical interventions in patients with extragenital pathology is 35.1 %. Routing of a pregnant woman with suspected surgical pathology through the primary visit to the maternity hospital significantly increases (p<0.05) the average time to admission to the surgical hospital. > <0.05 ) the average time to admission to the surgical hospital.https://www.sci-notes.ru/jour/article/view/988pregnancychildbirthacute surgical pathologyextragenital surgical pathologyroutingmorbidity structure |
| spellingShingle | D. N. Popov А. Yu. Korolkov V. F. Bezhenar L. А. Logvin S. F. Bagnenko Emergency surgical pathology in pregnant women and women in labor: analysis of the structure of morbidity and routing paths in St. Petersburg Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова pregnancy childbirth acute surgical pathology extragenital surgical pathology routing morbidity structure |
| title | Emergency surgical pathology in pregnant women and women in labor: analysis of the structure of morbidity and routing paths in St. Petersburg |
| title_full | Emergency surgical pathology in pregnant women and women in labor: analysis of the structure of morbidity and routing paths in St. Petersburg |
| title_fullStr | Emergency surgical pathology in pregnant women and women in labor: analysis of the structure of morbidity and routing paths in St. Petersburg |
| title_full_unstemmed | Emergency surgical pathology in pregnant women and women in labor: analysis of the structure of morbidity and routing paths in St. Petersburg |
| title_short | Emergency surgical pathology in pregnant women and women in labor: analysis of the structure of morbidity and routing paths in St. Petersburg |
| title_sort | emergency surgical pathology in pregnant women and women in labor analysis of the structure of morbidity and routing paths in st petersburg |
| topic | pregnancy childbirth acute surgical pathology extragenital surgical pathology routing morbidity structure |
| url | https://www.sci-notes.ru/jour/article/view/988 |
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