QC or UC? Evaluation of Pregnancy of Unknown Location First Follow-Up in Quant Clinic Compared With Urgent Care [ID 3559]

INTRODUCTION: Patients diagnosed with pregnancy of unknown location (PUL) require close follow-up, although the logistical challenges of timely follow-up are well-documented. This study assesses the first PUL follow-up in a dedicated Quant Clinic (QC) compared with a gynecologic urgent care (UC). METHODS: We performed a retrospective cohort study at a single academic hospital system. Patients initially diagnosed with PUL in a hospital-based gynecologic UC in 2024 who followed up in UC or QC within 24–72 hours of diagnosis were included. Nonviable gestation risk was calculated per patient by demographics and clinical characteristics at presentation using a previously validated scoring system. Data were described using comparative statistics. RESULTS: Ninety-eight patients were included (75 followed up in UC, 23 in QC). Age was statistically similar (29.2±5.9 versus 29.0±7.1, P =.87) between patients who presented to UC or QC, respectively. There was no statistical difference in race, ethnicity, insurance status, or nonviable gestation risk between the groups. Median visit time in minutes was significantly reduced in patients presenting to QC compared with UC (79 [interquartile range (IQR) 61–108] versus 174 [IQR 137–222], respectively, P <.01). Median number of labs ordered per patient was significantly reduced in QC compared with UC (1 [IQR 1–1] versus 2 [IQR 1–3], P <.01). CONCLUSIONS/IMPLICATIONS: Patient visit time and labs ordered at first PUL follow-up were significantly decreased in QC compared with UC. Dedicated PUL clinics should be considered to reduce patient visit time and improve resource utilization.