Evidence map›Paper›PMID 32527173›Full record

ArticleThe Journal of international medical research2020

Predicting first-trimester outcome of embryos with cardiac activity in women with recurrent spontaneous abortion.

Huixian Li, Shuang Qin, Fanfan Xiao, Yuhong Li, Yunhe Gao, Jiexin Zhang, Qing Xiao

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Article
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 at 2 institutions in 1 country.

Huixian LiThe Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China.ORCID https://orcid.org/0000-0001-5722-8602
Shuang QinDepartment of Reproductive and Immunological Gynecology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, Guangdong, China.
Fanfan XiaoThe Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China.
Yuhong LiThe Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China.
Yunhe GaoDepartment of Gynecology Outpatient, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, Guangdong, China.
Jiexin ZhangInstitute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, Guangdong, China.
Qing XiaoThe Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China.ORCID https://orcid.org/0000-0002-8231-6951
Sun Yat-sen University · CNGuangzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study was performed to evaluate the capability of routine clinical indicators to predict the early outcome of embryos with cardiac activity in women with recurrent spontaneous abortion (RSA).

methodsA retrospective cohort study of pregnant women with a history of RSA in a Chinese tertiary hospital was performed using unadjusted and multivariable logistic regression.

resultsOf 789 pregnant women with RSA, 625 (79.21%) had ongoing pregnancy, whereas 164 (20.79%) developed abortion before 20 full weeks of gestational age even after embryonic heart motion was detected. The final model had an area under the curve of 0.81 (95% confidence interval, 0.78-0.84) with a sensitivity of 74.39%, a specificity of 76.00%, and a false-positive rate of 52.32% at a fixed detection rate of 90%.

conclusionsThe combination of multiple routine clinical indicators was valuable in predicting the early outcome of embryos with cardiac activity in viable pregnancies with RSA. However, this model might result in a high false-positive rate with a fixed detection rate of 90%; other markers must be investigated to identify first-trimester RSA once positive embryonic heart motion is established.

Indexed as

Models, StatisticalAbortion, HabitualAbortion, SpontaneousAdultChorionic Gonadotropin, beta Subunit, HumanConfounding Factors, EpidemiologicEchocardiographyEmbryo, MammalianFalse Positive ReactionsFemaleHeartHeart Rate, FetalHumansPregnancyPregnancy Trimester, FirstProgesteroneChorionic Gonadotropin, beta Subunit, HumanProgesteronebiomarkerembryonic heart motionfetal ultrasoundFirst-trimester recurrent spontaneous abortionpredictive algorithmpredictive value

Identifiers

PMID32527173
PMCPMC7294372
OpenAlexW3035751395

What OpenQuestion holds

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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.