Tubo-Ovarian Abscesses: Epidemiology and Predictors for Failed Response to Medical Management in an Asian Population
Table 2
Comparison of clinical parameters on admission between the two groups.
All
Medical
Surgical
P-value
(N=136)
(N=111)
(N=25)
Clinical presentation
Pain
131 (96.3%)
107 (96.4%)
24 (96.0%)
0.924
If yes, days of pain (days)
4.9 ± 6.7
5.1 ± 7.2
4.3 ± 3.6
0.278
Mean ± SD
Fever
66 (48.5%)
44 (39.6%)
22 (88.0%)
<0.001
Vaginal discharge
35 (25.7%)
29 (26.1%)
6 (24.0%)
0.524
Abdominal rebound/guarding
36 (26.5%)
26 (23.4%)
10 (40.0%)
0.090
Adnexal tenderness/cervical motion excitation
105 (80.2%)
87 (79.8%)
18 (81.8%)
0.830
Investigations
TW count
Mean ± SD
15.9 ± 5.9
15.5 ± 5.5
18.1 ± 7.2
0.079
<10
18 (13.2%)
15 (13.5%)
3 (12.0%)
0.293
10-20
90 (66.2%)
76 (68.5%)
14 (56.0%)
>20
28 (20.6%)
20 (18.0%)
8 (32.0%)
CRP
0.050
Mean ± SD
157.8 ± 108.2
151.7 ± 112.7
183.7 ± 83.5
0.140
<100
48 (36.6%)
43 (40.6%)
5 (20.0%)
100-200
41 (31.3%)
32 (30.2%)
9 (36.0%)
>200
42 (32.1%)
31 (29.2%)
11 (44.0%)
Positive cervical culture
23 (17.2%)
22 (20.0%)
1 (4.2%)
0.062
Unilateral/bilateral TOA
Unilateral
82 (60.3%)
67 (60.4%)
15 (60.0%)
0.973
Bilateral
54 (39.7%)
44 (39.6%)
10 (40.0%)
Size of TOA (cm)
Mean ± SD
7.2 ± 3.5
6.9 ± 3.6
8.2 ± 2.7
0.002
<4
11 (8.1%)
10 (9.0%)
1 (4.0%)
0.009
4-8
92 (67.6%)
80 (72.1%)
12 (48.0%)
>8
33 (24.3%)
21 (18.9%)
12 (48.0%)
TW count: Total white count. CRP: C-reactive protein. TOA: Tubo-ovarian abscess. Missing data for 3 patients. Missing data for 5 patients. Missing data for 2 patients.
