Evidence map›Paper›PMID 35295562›Full record

ArticleObstetrics and gynecology international2022

Factors Associated with Ruptured Ectopic Pregnancy: A 10-Year Review at a District Hospital in Ghana.

Promise E Sefogah, Nana E Oduro, Alim Swarray-Deen, Hanson G Nuamah, Raphael B Takyi, Mercy A Nuamah, Samuel A Oppong

Abstract read
In one paragraph

Article in Obstetrics and gynecology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Promise E SefogahDepartment of Obstetrics & Gynaecology, University of Ghana Medical School, Accra, Ghana.ORCID https://orcid.org/0000-0003-3575-2838
Nana E OduroDepartment of Obstetrics & Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana.ORCID https://orcid.org/0000-0002-3204-808X
Alim Swarray-DeenDepartment of Obstetrics & Gynaecology, University of Ghana Medical School, Accra, Ghana.ORCID https://orcid.org/0000-0001-9686-1187
Hanson G NuamahDepartment of Epidemiology and Disease Control School of Public Health, University of Ghana, Accra, Ghana.
Raphael B TakyiDepartment of Obstetrics & Gynaecology, LEKMA Hospital, Teshie, Accra, Ghana.
Mercy A NuamahDepartment of Obstetrics & Gynaecology, University of Ghana Medical School, Accra, Ghana.
Samuel A OppongDepartment of Obstetrics & Gynaecology, University of Ghana Medical School, Accra, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Approximately 1-2% of all pregnancies are ectopic. Despite a decline in ectopic pregnancy-related mortality, there is still a paucity of information on the factors associated with clinical presentation and outcomes in Sub-Saharan Africa which is essential in determining the most appropriate treatment modalities. Methods: We performed a ten-year retrospective chart review of cases of ectopic pregnancies managed at the Lekma hospital and assessed them for peculiar risk factors, clinical presentation, and outcomes. Associations between patients' sociodemographic characteristics, clinical presentation, and treatment outcome were evaluated using multiple logistic regression and reported as adjusted odds ratios (AOR). The confidence interval (CI) was set at 95%, and a Results: Over the ten-year period, there were 115 ectopic pregnancies and 14,450 deliveries (7.9/1,000). The mean age ± standard deviation of the 115 patients was 27.61 ± 5.56. More than half of the patients were single (59/115, 51.3%). The majority (71.3%) of the patients presented with a ruptured ectopic pregnancy. After adjusting for covariates, the odds of an ectopic pregnancy presenting as ruptured among single patients was 2.63 times higher than that of married patients (AOR = 3.63, 95% CI: 1.33-9.93, Conclusion: Most of the cases of ectopic pregnancy presented ruptured. Marital status and period of amenorrhoea were significantly associated with rupture.

Identifiers

PMID35295562
PMCPMC8920631

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