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Incidence of emergency department visits and complications after abortion.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Upadhyay, Ushma D. Desai, Sheila Zlidar, Vera M. Weitz, Tracy A. Grossman, Daniel Anderson, Patricia M. Taylor, Diana |
| Copyright Year | 2015 |
| Abstract | OBJECTIVE To conduct a retrospective observational cohort study to estimate the abortion complication rate, including those diagnosed or treated at emergency departments (EDs). METHODS Using 2009-2010 abortion data among women covered by the fee-for-service California Medicaid program and all subsequent health care for 6 weeks after having an abortion, we analyzed reasons for ED visits and estimated the abortion-related complication rate and the adjusted relative risk. Complications were defined as receiving an abortion-related diagnosis or treatment at any source of care within 6 weeks after an abortion. Major complications were defined as requiring hospital admission, surgery, or blood transfusion. RESULTS A total of 54,911 abortions among 50,273 fee-for-service Medi-Cal beneficiaries were identified. Among all abortions, 1 of 16 (6.4%, n=3,531) was followed by an ED visit within 6 weeks but only 1 of 115 (0.87%, n=478) resulted in an ED visit for an abortion-related complication. Approximately 1 of 5,491 (0.03%, n=15) involved ambulance transfers to EDs on the day of the abortion. The major complication rate was 0.23% (n=126, 1/436): 0.31% (n=35) for medication abortion, 0.16% (n=57) for first-trimester aspiration abortion, and 0.41% (n=34) for second-trimester or later procedures. The total abortion-related complication rate including all sources of care including EDs and the original abortion facility was 2.1% (n=1,156): 5.2% (n=588) for medication abortion, 1.3% (n=438) for first-trimester aspiration abortion, and 1.5% (n=130) for second-trimester or later procedures. CONCLUSION Abortion complication rates are comparable to previously published rates even when ED visits are included and there is no loss to follow-up. LEVEL OF EVIDENCE II. |
| File Format | PDF HTM / HTML |
| DOI | 10.1097/AOG.0000000000000603 |
| PubMed reference number | 25560122 |
| Journal | Medline |
| Volume Number | 125 |
| Issue Number | 1 |
| Alternate Webpage(s) | https://cloudfront.escholarship.org/dist/prd/content/qt523956jn/qt523956jn.pdf?t=opp2o5 |
| Alternate Webpage(s) | https://escholarship.org/content/qt523956jn/qt523956jn.pdf?t=opoj85 |
| Alternate Webpage(s) | https://www.ansirh.org/sites/default/files/publications/files/upadhyay-jan15-incidence_of_emergency_department_visits.pdf |
| Alternate Webpage(s) | https://doi.org/10.1097/AOG.0000000000000603 |
| Journal | Obstetrics and gynecology |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
