AI Summary & Key Takeaways
AI InsightObstetric clinical class and presentation via EMS were associated with higher likelihood of hospital admission, suggesting potential predictors of hospitalization in this population; however, the overall predictive performance of the model was limited.
📌 3 Key Takeaways
Abstract
Aims: Gynecology and obstetrics (GYN/OB) related presentations constitute a significant portion of the emergency department (ED) workload. This study aimed to determine the presentation characteristics, diagnosis distribution, and factors associated with hospitalization in cases requiring GYN/OB consultation in the ED of a university hospital. Methods: In this single-center, retrospective, descriptive study, cases evaluated in the ED between January 1, 2020, and October 30, 2025, for which a GYN/OB consultation was requested were examined. Only the first record was used for repeated visits by the same patient. Data were obtained from the hospital information management system (HIMS); outcomes were coded as discharge=0, admission=1. Variables associated with admission were evaluated using a multivariate logistic regression model. Results: A total of 6037 cases were analyzed [median age 28 (24-34)]. 95.5% of visits were outpatient, 4.5% were via emergency medical services (EMS); 50.9% of cases presented during the evening shift. Annual visits increased from 2020 to 2023 and decreased from 2024 to 2025. Fifty-eight-point eight percent of cases resulted in admission; of these admissions, 50% were to the delivery room, 27% to the ward, and 23% were surgical admissions. The most common diagnosis was labor pain (45.3%), followed by abnormal uterine bleeding (9.1%) and abdominal pain (8%). There was a significant association between diagnosis and admission (p<0.001). In multivariate analysis, obstetric class (aOR=1.84; 95% CI 1.63-2.08) and presentation via EMS (aOR=1.43; 95% CI 1.11-1.85) were independently associated with admission. Conclusion: Most presentations requiring GYN/OB consultation are obstetric in nature, with labor being the most common reason for presentation. Obstetric clinical class and presentation via EMS were associated with higher likelihood of hospital admission, suggesting potential predictors of hospitalization in this population; however, the overall predictive performance of the model was limited. The findings are important for rationalizing obstetric workflow in EDs and supporting human resource planning with local data.