Clinical Features of Severe Ovarian Hyperstimulation Syndrome with Hydrothorax Article Swipe
Xiaowei Ma
,
Jingwen Yin
,
Rui Yang
,
Shuo Yang
,
Jia Li
,
Yang Wang
,
Rong Li
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12196210
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12196210
Problem: Does the presence of hydrothorax suggest that severe ovarian hyperstimulation syndrome (OHSS) is associated with more severe conditions and worse pregnancy outcomes? Method of study: The clinical data for 868 hospital patients with severe OHSS following IVF-ET at Peking University Third Hospital between 1 January 2016 and 21 July 2021 were retrospectively analysed. The patients were divided into two groups, the ascites alone group (n = 417) and the ascites combined with hydrothorax group (n = 451), to investigate the clinical features and pregnancy outcomes of patients with severe ovarian hyperstimulation syndrome (OHSS) combined with hydrothorax plus ascites. Results: The clinical data for 868 hospital patients with severe OHSS following IVF-ET were included. A total of 51.96% of patients with severe OHSS had hydrothorax plus ascites, mainly bilateral and moderate hydrothorax. Most cases with hydrothorax could be monitored and observed, and only 2.66% of the cases required thoracentesis and pleural drainage. Clinically, the time to visit due to worsening symptoms was longer; the hospital stay was shorter; and the OHSS-related laboratory tests, such as white blood cells (WBC), haematocrit (HCT), and ovarian diameter, were less severe in the ascites combined with hydrothorax group than in the ascites alone group. For live-birth outcomes of IVF-ET, the presence and the volume of hydrothorax were not independent risk factors, while the late onset of OHSS (odds ratio [OR]: 0.857 95% confidence interval [CI]: 0.795, 0.925) and a history of foetal reduction (OR: 13.796 95% CI: 1.808, 105.288) were independent protective factors for live birth. Conclusions: Patients with severe OHSS combined with hydrothorax plus ascites have less severe clinical manifestations and laboratory tests than those with ascites alone. The presence and the volume of hydrothorax are unrelated to live-birth outcomes following in vitro fertilization and embryo transfer (IVF-ET).
Related Topics
Concepts
Medicine
Hydrothorax
Ovarian hyperstimulation syndrome
Ascites
Thoracentesis
Pleural effusion
Odds ratio
Surgery
Gynecology
Pregnancy
Internal medicine
In vitro fertilisation
Genetics
Biology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm12196210
- https://www.mdpi.com/2077-0383/12/19/6210/pdf?version=1695723346
- OA Status
- gold
- Cited By
- 3
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4387060247
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4387060247Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/jcm12196210Digital Object Identifier
- Title
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Clinical Features of Severe Ovarian Hyperstimulation Syndrome with HydrothoraxWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
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2023-09-26Full publication date if available
- Authors
-
Xiaowei Ma, Jingwen Yin, Rui Yang, Shuo Yang, Jia Li, Yang Wang, Rong LiList of authors in order
- Landing page
-
https://doi.org/10.3390/jcm12196210Publisher landing page
- PDF URL
-
https://www.mdpi.com/2077-0383/12/19/6210/pdf?version=1695723346Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
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https://www.mdpi.com/2077-0383/12/19/6210/pdf?version=1695723346Direct OA link when available
- Concepts
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Medicine, Hydrothorax, Ovarian hyperstimulation syndrome, Ascites, Thoracentesis, Pleural effusion, Odds ratio, Surgery, Gynecology, Pregnancy, Internal medicine, In vitro fertilisation, Genetics, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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3Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 2Per-year citation counts (last 5 years)
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23Number of works referenced by this work
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-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(HCT), | 180 |
| abstract_inverted_index.(OHSS) | 12, 93 |
| abstract_inverted_index.(WBC), | 178 |
| abstract_inverted_index.0.795, | 231 |
| abstract_inverted_index.0.925) | 232 |
| abstract_inverted_index.1.808, | 243 |
| abstract_inverted_index.13.796 | 240 |
| abstract_inverted_index.51.96% | 117 |
| abstract_inverted_index.IVF-ET | 37, 111 |
| abstract_inverted_index.Method | 23 |
| abstract_inverted_index.Peking | 39 |
| abstract_inverted_index.alone. | 274 |
| abstract_inverted_index.birth. | 251 |
| abstract_inverted_index.embryo | 292 |
| abstract_inverted_index.foetal | 237 |
| abstract_inverted_index.group. | 199 |
| abstract_inverted_index.mainly | 127 |
| abstract_inverted_index.severe | 8, 17, 34, 89, 108, 121, 186, 255, 264 |
| abstract_inverted_index.study: | 25 |
| abstract_inverted_index.tests, | 172 |
| abstract_inverted_index.volume | 209, 279 |
| abstract_inverted_index.IVF-ET, | 204 |
| abstract_inverted_index.January | 45 |
| abstract_inverted_index.ascites | 62, 70, 189, 197, 261, 273 |
| abstract_inverted_index.between | 43 |
| abstract_inverted_index.divided | 57 |
| abstract_inverted_index.factors | 248 |
| abstract_inverted_index.groups, | 60 |
| abstract_inverted_index.history | 235 |
| abstract_inverted_index.longer; | 162 |
| abstract_inverted_index.ovarian | 9, 90, 182 |
| abstract_inverted_index.pleural | 150 |
| abstract_inverted_index.suggest | 6 |
| abstract_inverted_index.105.288) | 244 |
| abstract_inverted_index.Hospital | 42 |
| abstract_inverted_index.Patients | 253 |
| abstract_inverted_index.Problem: | 0 |
| abstract_inverted_index.Results: | 99 |
| abstract_inverted_index.ascites, | 126 |
| abstract_inverted_index.ascites. | 98 |
| abstract_inverted_index.clinical | 27, 81, 101, 265 |
| abstract_inverted_index.combined | 71, 94, 190, 257 |
| abstract_inverted_index.factors, | 216 |
| abstract_inverted_index.features | 82 |
| abstract_inverted_index.hospital | 31, 105, 164 |
| abstract_inverted_index.interval | 229 |
| abstract_inverted_index.moderate | 130 |
| abstract_inverted_index.outcomes | 85, 202, 286 |
| abstract_inverted_index.patients | 32, 55, 87, 106, 119 |
| abstract_inverted_index.presence | 3, 206, 276 |
| abstract_inverted_index.required | 147 |
| abstract_inverted_index.shorter; | 167 |
| abstract_inverted_index.symptoms | 160 |
| abstract_inverted_index.syndrome | 11, 92 |
| abstract_inverted_index.transfer | 293 |
| abstract_inverted_index.(IVF-ET). | 294 |
| abstract_inverted_index.analysed. | 53 |
| abstract_inverted_index.bilateral | 128 |
| abstract_inverted_index.diameter, | 183 |
| abstract_inverted_index.drainage. | 151 |
| abstract_inverted_index.following | 36, 110, 287 |
| abstract_inverted_index.included. | 113 |
| abstract_inverted_index.monitored | 138 |
| abstract_inverted_index.observed, | 140 |
| abstract_inverted_index.outcomes? | 22 |
| abstract_inverted_index.pregnancy | 21, 84 |
| abstract_inverted_index.reduction | 238 |
| abstract_inverted_index.unrelated | 283 |
| abstract_inverted_index.worsening | 159 |
| abstract_inverted_index.University | 40 |
| abstract_inverted_index.associated | 14 |
| abstract_inverted_index.conditions | 18 |
| abstract_inverted_index.confidence | 228 |
| abstract_inverted_index.laboratory | 171, 268 |
| abstract_inverted_index.live-birth | 201, 285 |
| abstract_inverted_index.protective | 247 |
| abstract_inverted_index.Clinically, | 152 |
| abstract_inverted_index.haematocrit | 179 |
| abstract_inverted_index.hydrothorax | 5, 73, 96, 124, 135, 192, 211, 259, 281 |
| abstract_inverted_index.independent | 214, 246 |
| abstract_inverted_index.investigate | 79 |
| abstract_inverted_index.Conclusions: | 252 |
| abstract_inverted_index.OHSS-related | 170 |
| abstract_inverted_index.hydrothorax. | 131 |
| abstract_inverted_index.fertilization | 290 |
| abstract_inverted_index.thoracentesis | 148 |
| abstract_inverted_index.manifestations | 266 |
| abstract_inverted_index.retrospectively | 52 |
| abstract_inverted_index.hyperstimulation | 10, 91 |
| cited_by_percentile_year.max | 96 |
| cited_by_percentile_year.min | 91 |
| corresponding_author_ids | https://openalex.org/A5100385064, https://openalex.org/A5101815224 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 7 |
| corresponding_institution_ids | https://openalex.org/I20231570, https://openalex.org/I4210141942, https://openalex.org/I4210163952 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8600000143051147 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.7767032 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |