Evidence map›Paper›PMID 25009723›Full record

ArticleFacts, views & vision in ObGyn2014

Outpatient Management of Severe Ovarian Hyperstimulation Syndrome (OHSS) with Placement of Pigtail Catheter.

M Abuzeid, H Warda, S Joseph, M G Corrado, Y Abuzeid, M Ashraf, B Rizk

Abstract read
In one paragraph

Article in Facts, views & vision in ObGyn, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

M AbuzeidHurley Medical Center, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Flint USA 48503 ; Hurley Medical Center, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Flint USA 48503 ; Hurley Medical Center, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Flint USA 48503.
H WardaHurley Medical Center, Department of Obstetrics and Gynecology, Flint, USA 48503 IVF Michigan, PC, Rochester Hills, USA 48307 ; Reproductive Biology, College of Human Medicine, Flint Campus, Flint, USA 48503.
S JosephMichigan State University, Department of Obstetrics and Gynecology.
M G CorradoMichigan State University, Department of Obstetrics and Gynecology.
Y AbuzeidMichigan State University, Department of Obstetrics and Gynecology.
M AshrafHurley Medical Center, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Flint USA 48503 ; Michigan State University, Department of Obstetrics and Gynecology ; Reproductive Biology, College of Human Medicine, Flint Campus, Flint, USA 48503.
B RizkUniversity of South Alabama, Professor and head, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Mobile, USA 36604.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of outpatient management of severe ovarian hyperstimulation syndrome (OHSS) requiring placement of a pigtail catheter.

methodsretrospective analysis of thirty-three consecutive patients who underwent in-vitro fertilization (2003-2009) and developed severe/critical OHSS requiring placement of a pigtail catheter. Patients who were managed on outpatient basis were monitored by frequent office visits, daily phone calls, and received IV normal saline for hydration when required.

resultsIn 3 patients (9.1%) OHSS started early, requiring placement of a pigtail catheter 4.3 + 0.6 days after retrieval. In 30 patients (90.9%) OHSS started late (14 ± 4 days after retrieval). The mean amount of ascitic fluid drained immediately after placement of the catheter was 2085 ± 1018 cc. The pigtail catheter was removed after 7.8 ± 5.3 days. Of the 31 patients who had embryo transfer (two had total freeze), 84% conceived. Twenty-nine patients (88%) were managed on outpatient basis without any complications. Four patients required hospital admission for 1-7 days (3.0 ± 2.7). One patient with severe OHSS was admitted for work up for chest pain. Three patients with critical OHSS with severe pleural effusion requiring thoracentesis were admitted for supportive measures.

conclusionThe placement of a pigtail catheter resulted in safe and effective outpatient management for the majority of patients with severe OHSS.

Indexed as

ComplicationIVFmanagementOHSSoutcomeoutpatientPigtail catheter

Identifiers

PMID25009723
PMCPMC4086000

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.