{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T02:08:37Z","timestamp":1783390117896,"version":"3.54.6"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2018,3,4]],"date-time":"2018-03-04T00:00:00Z","timestamp":1520121600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJEM"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1481803518000131_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>The objective of this study was to determine the proportion of women who had a ruptured ectopic pregnancy after being discharged from the emergency department (ED) where ectopic pregnancy had not yet been excluded.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803518000131_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>This was a retrospective chart review of pregnant (&lt;12-week gestational age) women discharged home from an academic tertiary care ED with a diagnosis of ectopic pregnancy, rule-out ectopic pregnancy, or pregnancy of unknown location over a 7-year period.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803518000131_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Of the 550 included patients, 83 (15.1%) had a viable pregnancy, 94 (17.1%) had a spontaneous or missed abortion, 230 (41.8%) had an ectopic pregnancy, 72 (13.1%) had unknown outcomes, and 71 (12.9%) had other outcomes that included therapeutic abortion, molar pregnancy, or resolution of \u03b2HCG with no location documented. Of the 230 ectopic pregnancies, 42 (7.6%) underwent expectant management, 131 (23.8%) were managed medically with methotrexate, 29 (5.3%) were managed with surgical intervention, and 28 (5.1%) patients had a ruptured ectopic pregnancy after their index ED visit. Of the 550 included patients, 221 (40.2%) did not have a transvaginal ultrasound during their index ED visit, and 73 (33.0%) were subsequently diagnosed with an ectopic pregnancy.<\/jats:p><\/jats:sec><jats:sec id=\"S1481803518000131_abs4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>These results may be useful for ED physicians counselling women with symptomatic early pregnancies about the risk of ectopic pregnancy after they are discharged from the ED.<\/jats:p><\/jats:sec>","DOI":"10.1017\/cem.2018.13","type":"journal-article","created":{"date-parts":[[2018,3,4]],"date-time":"2018-03-04T19:08:22Z","timestamp":1520190502000},"page":"71-74","source":"Crossref","is-referenced-by-count":3,"title":["Ectopic pregnancy outcomes in patients discharged from the emergency department"],"prefix":"10.1007","volume":"21","author":[{"given":"Krista","family":"Hawrylyshyn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley L.","family":"McLeod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackie","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Varner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2018,3,4]]},"reference":[{"key":"S1481803518000131_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14844"},{"key":"S1481803518000131_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/del083"},{"key":"S1481803518000131_ref2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp0810384"},{"key":"S1481803518000131_ref3","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2838"},{"key":"S1481803518000131_ref7","unstructured":"National Institute for Health and Care Excellence. Ectopic pregnancy and miscarriage: diagnosis and initial management; 2012. Available at: https:\/\/www.nice.org.uk\/guidance\/cg154 (accessed 12 October 2017)."},{"key":"S1481803518000131_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2004.04.004"},{"key":"S1481803518000131_ref1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.050222"},{"key":"S1481803518000131_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2016.06.001"}],"container-title":["CJEM"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1481803518000131","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T23:40:04Z","timestamp":1609458004000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1481803518000131\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,4]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["S1481803518000131"],"URL":"https:\/\/doi.org\/10.1017\/cem.2018.13","relation":{},"ISSN":["1481-8035","1481-8043"],"issn-type":[{"value":"1481-8035","type":"print"},{"value":"1481-8043","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,4]]}}}