Evidence map›Paper›PMID 29529100›Full record

Observational studyPloS one2018

Heart rate variability among women undergoing in vitro fertilization treatment: Its predictive ability for pregnancy.

Meng-Hsing Wu, Pei-Fang Su, Kuan-Ya Chen, Tung-Hee Tie, Hsu-Cheng Ke, Hau Chen, Yu-Chi Su, Yu-Chen Su, Huang-Tz Ou

Erratum issuedOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.6field-weighted citation impact, top 6% of its field
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

2 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Meng-Hsing WuDivision of Obstetrics and Gynecology, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Pei-Fang SuSchool of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Kuan-Ya ChenSchool of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Tung-Hee TieDepartment of Statistics, National Cheng Kung University, Tainan, Taiwan.
Hsu-Cheng KeDepartment of Statistics, National Cheng Kung University, Tainan, Taiwan.
Hau ChenDepartment of Statistics, National Cheng Kung University, Tainan, Taiwan.
Yu-Chi SuDepartment of Statistics, National Cheng Kung University, Tainan, Taiwan.
Yu-Chen SuDepartment of Statistics, National Cheng Kung University, Tainan, Taiwan.
Huang-Tz OuInstitute of Clinical Pharmacy and Pharmaceutical Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.ORCID 0000-0002-5475-7848
National Cheng Kung University · TWNational Cheng Kung University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to assess predictive ability of heart rate variability (HRV) for pregnancy outcomes with in vitro fertilization (IVF) treatment. RESEARCH DESIGN AND

methodA total of 180 women with 261 cycles of IVF and 211 embryo transfers (ETs) were analyzed. HRV was measured at four times during IVF treatment: the first date of menstruation, r-HCG (Ovidrel) administration, and before and after ET. Pregnancy indicators included chemical pregnancy, ongoing pregnancy (> 10 weeks), and live birth (pregnancy > 24 weeks). Mixed effect models were applied to identify predictors for IVF pregnancy. The area under the receiver operating characteristic curve (AUC) was used to assess prediction models for pregnancy.

resultsThe HRV values increased during IVF treatment and then decreased after ET. The trend of changes in HRV values during IVF treatment was significant among patients with chemical pregnancy (p < 0.01) and those with live birth (p = 0.02). Women without pregnancy had lower HRV compared to those with IVF pregnancy (p < 0.05). With a one unit increase in HRV difference before and after ET, the odds of chemical pregnancy decreased by 18% (odds ratio; OR: 0.82, 95% CI: 0.70-0.97, p < 0.02). With a one year increase in maternal age, the odds decreased by 16% (OR: 0.84, 95% CI: 0.76-0.93, p < 0.01), 25% (OR: 0.75, 95% CI: 0.58-0.93, p = 0.02), and 28% (OR: 0.72, 95% CI: 0.54-0.91, p = 0.01) for chemical pregnancy, ongoing pregnancy, and live birth, respectively. The AUCs were 0.77 (95% CI: 0.70, 0.84), 0.89 (0.79, 0.98), and 0.91(0.83, 0.99) for the prediction models for chemical pregnancy, ongoing pregnancy, and live birth, respectively.

conclusionsReduced HRV may be an indicator for low chance of IVF pregnancy. The changes in HRV before and after ET and maternal age might be prognostic predictors of IVF pregnancy.

Indexed as

Fertilization in VitroHeart RatePregnancy OutcomeAdultArea Under CurveFemaleHeart Rate DeterminationHumansMaternal AgeMultivariate AnalysisOdds RatioPregnancyProspective StudiesROC CurveTime Factors

Identifiers

PMID29529100
PMCPMC5846774
OpenAlexW2790708074

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.