VURAL, AbdussamedDOLANBAY, TURGUTCUMAOGLU, MUSTAFA OGUZardıç, nazanKARAMAN, Enesaltay, mustafa cihanCANBAZ, Hayri2025-10-242025-10-2420252822-6771https://doi.org/10.14744/cm.2024.96630https://search.trdizin.gov.tr/tr/yayin/detay/1339147https://hdl.handle.net/20.500.12899/2214Objective: This study aimed to evaluate the impact of the initial admission clinic (Gynecologic and Obstetric emergency medicine [GOED] vs. Adult emergency medicine [AED]) on the diagnostic and therapeutic processes of ectopic pregnancy (EP). Additionally, we investigated the influence of clinic-specific factors on the treatment outcomes. Materials and Methods: This retrospective, cross-sectional study included 164 patients diagnosed with EP between October 1, 2021, and October 1, 2023, at a tertiary hospital. Data, including demographics, clinical presentation, time to diagnosis, diagnostic tests used, treatment modality, and patient outcomes, were collected from electronic hospital records. Statistical analyses were performed to determine the relationship between the initial admission clinic and the diagnostic/therapeutic outcomes. Results: Patients admitted to the GOED had significantly shorter median diagnostic times than those admitted to the AED (1 hour vs. 2.5 hours, p<0.001). The surgical intervention rate was higher in the AED group (64.7%) than in the GOED group (36.9%; p=0.004). No significant differences were found in patient out- comes or length of hospital stay based on the time of admission (working vs. nonworking hours). GOED admissions were associated with a higher proportion of outpatient management (87.5%) than were AED admissions. Conclusion: Initial admission to the GOED significantly reduced diagnostic delays and increased the likelihood of noninvasive management of EP. These find- ings highlight the importance of clinic-specific expertise in optimizing EP management and reducing the need for surgical interventions. Further prospective studies are needed to validate these results and to explore the long-term impact of clinic-specific factors on patient outcomes.eninfo:eu-repo/semantics/openAccessEctopic pregnancyhealth services utilizationAdult emergency departmentgynecologic emergency departmenttime factorsArticle10.14744/cm.2024.9663017163691339147