{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T13:44:15Z","timestamp":1782135855039,"version":"3.54.5"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,10,10]],"date-time":"2013-10-10T00:00:00Z","timestamp":1381363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ministry of Health, Labor and Welfare and Ministry of Education, Culture, Sports, Science and Technology"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2014,2]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>The aim of this study was to identify factors that can predict clinical course among patients hospitalized with pelvic inflammatory disease (PID<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>Ninety\u2010three patients who needed hospitalization with a diagnosis of PID<\/jats:styled-content> were retrospectively studied. Patients who were discharged within 7 days by conservative treatment were defined as favorable course cases (n<\/jats:italic>\u2009=\u200944). Patients who needed more than 7 days of hospitalization and\/or surgery were defined as poor course cases (n<\/jats:italic>\u2009=\u200949). Twenty variables were evaluated by univariate and logistic regression analysis: age, history of pregnancy\/delivery, gynecological open\/laparoscopic surgery, PID<\/jats:styled-content>, oral contraceptives\/intrauterine device use and intrauterine operation before onset, body temperature, signs of peritoneal irritation, vomiting\/diarrhea, abnormal vaginal discharge, endometriosis\/fibroid\/adenomyosis\/any cystic lesion detected by ultrasonography, white blood cell counts\/C\u2010reactive protein (CRP<\/jats:styled-content>) levels . The cut\u2010off value was calculated by receiver\u2013operator curve (ROC<\/jats:styled-content>) analysis.<\/jats:p><\/jats:sec>Results<\/jats:title>Factors associated with poor clinical course were advanced age (P<\/jats:styled-content><\/jats:italic>\u2009<\u20090.01), history of gynecological open surgery (P<\/jats:styled-content><\/jats:italic>\u2009<\u20090.05), any cystic lesion detected by ultrasonography (P<\/jats:styled-content><\/jats:italic>\u2009<\u20090.05) and high CRP<\/jats:styled-content> levels (P<\/jats:styled-content><\/jats:italic>\u2009<\u20090.05). High CRP<\/jats:styled-content> levels and intrauterine operation before onset were independently associated with poor clinical course. The cut\u2010off value for CRP<\/jats:styled-content> was 4.4\u2009mg\/dL.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>This study identified variables that can predict poor clinical course of PID<\/jats:styled-content>. These results can assist gynecologists with identifying patients at risk and optimizing the choice of management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12189","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T02:18:23Z","timestamp":1381544303000},"page":"495-500","source":"Crossref","is-referenced-by-count":21,"title":["Factors that predict poor clinical course among patients hospitalized with pelvic inflammatory disease"],"prefix":"10.1111","volume":"40","author":[{"given":"Miyoko","family":"Terao","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaori","family":"Koga","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihisa","family":"Fujimoto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osamu","family":"Wada\u2010Hiraike","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Osuga","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsu","family":"Yano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiro","family":"Kozuma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,10,10]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1991.03470180070040"},{"key":"e_1_2_6_3_1","first-page":"1","article-title":"Sexually transmitted diseases treatment guidelines, 2010","volume":"59","author":"Workowski KA","year":"2010","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/S1064744900000077"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000088751"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-012-2385-4"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000072076"},{"key":"e_1_2_6_8_1","first-page":"117","article-title":"Tubo\u2010ovarian abscesses: Spectrum of sonographic findings with surgical and pathological correlations","volume":"30","author":"Varras M","year":"2003","journal-title":"Clin Exp Obstet Gynecol"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.1990.9.12.681"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2010.02.033"},{"key":"e_1_2_6_11_1","first-page":"955","article-title":"C\u2010reactive protein in assessing antimicrobial treatment of acute pelvic inflammatory disease","volume":"35","author":"Teisala K","year":"1990","journal-title":"J Reprod Med"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(97)00236-1"},{"key":"e_1_2_6_13_1","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1016\/S0015-0282(16)58290-9","article-title":"Ruptured tubo\u2010ovarian abscess complicating transcervical cryopreserved embryo transfer","volume":"65","author":"Friedler S","year":"1996","journal-title":"Fertil Steril"},{"key":"e_1_2_6_14_1","first-page":"164","article-title":"Ruptured tubo\u2010ovarian abscess as a complication of IVF treatment: Clinical, ultrasonographic and histopathologic findings. 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