Diagnostic, Emergencies, Metrorrhagia, Pelvic Pain, Pregnancy Related
Conditions
Brief summary
The aim of the study is to evaluate the effectiveness of a rapid pregnancy diagnostic test to improve the medical care of patients in emergency room.
Detailed description
The most current gynecological consultations in emergency unit first lead to a pregnancy diagnostic test. The gold standard used is the diagnostic test based on determination of the β-human chorionic gonadotropin concentration. But this assay need time and expect women to wait for hours. A 5-minutes pregnancy diagnostic test has been developed in France. A 62-patients study showed that results obtained with the rapid test were correlated with results obtained with the test based on determination of the β-human chorionic gonadotropin concentration. The purpose of this study is to evaluate the efficiency of the 5-minutes pregnancy diagnostic test realized in emergency room, in comparison with the blood determination of the β-human chorionic gonadotropin concentration which is only tested in medical laboratory. A little amount of total blood sample used for gold standard test will be used to assess sensibility, specificity, positive or negative predictive values of the rapid pregnancy diagnostic test.
Interventions
None listed
Sponsors
Rennes University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Adult women who are in genital activity * Women who are in emergency unit to consult for metrorrhagia and/or pelvic pains. * Lack of intrauterine gestational sac determined using endo-vaginal ultrasound * Women who need a diagnostic test using the β-human chorionic gonadotropin blood test.
Exclusion criteria
* Previous pregnancy diagnostic assessed using the β-human chorionic gonadotropin blood test. * Patients included in an ovarian stimulation program for infertility * Ectopic gestational sac in which there is an embryo with a cardiac activity determined with ultrasound. * Patient objecting to participate in the study * Minor * Persons subject to major legal protection (safeguarding justice, guardianship, trusteeship), persons deprived of liberty.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of diagnostic of pregnancy with the rapid pregnancy diagnostic test in comparison with the number of diagnostic of pregnancy with the blood determination of the β-human chorionic gonadotropin concentration. | 6 months | Number of diagnostic of pregnancy with the rapid pregnancy diagnostic test in comparison with the number of diagnostic of pregnancy with the blood determination of the β-human chorionic gonadotropin concentration. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Waiting time in emergency unit for patients | 6 months | Waiting time in emergency unit for patients |
| Amount of blood tests avoided with the rapid pregnancy diagnostic test | 6 months | Amount of blood tests avoided with the rapid pregnancy diagnostic test |
Countries
France
Outcome results
None listed