{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T15:12:05Z","timestamp":1776093125063,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Length of stay (LoS) is a significant performance indicator in healthcare systems. Prolonged LoS in the obstetrics and gynecology emergency rooms (OB\u2010GYN ERs) contributes to ER congestion and resource inefficiencies. The aim of this epidemiological study was to identify factors associated with prolonged LoS among patients attending a university hospital OB\u2010GYN ER in Saudi Arabia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 7987 OB\u2010GYN ER visits from January to December 2022. Variables analyzed included patient age, triage level, visit timing and season, discharge status, and chief complaint. Predictors of prolonged LoS were assessed using a multivariable linear regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Prolonged LoS was observed in 19.62% of visits. Higher\u2010acuity triage levels were associated with shorter LoS. Patients who were admitted or referred had shorter LoS than those discharged routinely, while absconded patients and those not located had significantly longer stays. Visits for non\u2010obstetric complaints such as cardiovascular or neurologic issues were associated with longer LoS than obstetric\u2010related complaints. Seasonal and temporal factors were also significant, with shorter durations noted in summer and nighttime visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Multiple factors contribute to variation in LoS in OB\u2010GYN ER settings, including triage severity, time of visit, and type of complaint. Strengthening the integration of women's health subspecialties within family medicine at the primary healthcare level can play a pivotal role in managing non\u2010urgent cases more efficiently. These improvements align with the goals of Saudi Vision 2030 by enhancing healthcare delivery, optimizing resource utilization, and expanding access to specialized women's health services outside hospital\u2010based OB\u2010GYN ER settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70603","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T10:04:58Z","timestamp":1760695498000},"page":"239-247","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bridging women's emergency and primary healthcare: Factors associated with prolonged obstetrics and gynecology emergency room stay in a Saudi university hospital"],"prefix":"10.1002","volume":"173","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8049-237X","authenticated-orcid":false,"given":"Nouf A.","family":"AlShamlan","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine Imam Abdulrahman Bin Faisal University  Dammam Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reem S.","family":"AlOmar","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine Imam Abdulrahman Bin Faisal University  Dammam Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nourah H.","family":"Al Qahtani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Medicine Imam Abdulrahman Bin Faisal University  Dammam Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatimah S.","family":"Badghaish","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Dammam Medical Complex (DMC)  Dammam Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rehab F.","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine King Fahd Military Medical Complex (KFMMC)  Dhahran Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar Y.","family":"Almukhadhib","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology National Guard Health Affairs  Dammam Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nurah Salham","family":"Alnuaimi","sequence":"additional","affiliation":[{"name":"College of Medicine Imam Abdulrahman Bin Faisal University  Dammam Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amani M.","family":"AlQarni","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine Imam Abdulrahman Bin Faisal University  Dammam Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam F.","family":"Aldhawyan","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine Imam Abdulrahman Bin Faisal University  Dammam Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amani S.","family":"AlOtaibi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Medicine Imam Abdulrahman Bin Faisal University  Dammam Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah H.","family":"Alreedy","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine Imam Abdulrahman Bin Faisal University  Dammam Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.10.013"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.14740\/jocmr2013w"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-227X-11-3"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2009.07.023"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/OAEM.S305885"},{"issue":"1","key":"e_1_2_10_7_1","first-page":"e53","article-title":"Determinants of prolonged length of stay in the emergency department; 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