Evidence map›Paper›PMID 35380279›Full record

ArticleArchives of gynecology and obstetrics2022

Fertilization and neonatal outcomes after early rescue intracytoplasmic sperm injection: a retrospective analysis of 16,769 patients.

Jun Zeng, Zhongyuan Yao, Yeqing Zhang, Fen Tian, Tingting Liao, Lingqian Wu, Yanping Li

Open access · hybridAbstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  5. Spindle observation aids decision-making for early rescue ICSI.Journal of assisted reproduction and genetics · 2025
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  11. A novel frameshift mutation inFrontiers in endocrinology · 2023
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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 at 1 institution in 1 country.

Jun Zeng *Reproductive Medicine Center, Xiangya Hospital, Central South University, Changsha, Hunan, 410000, People's Republic of China.
Zhongyuan Yao *Reproductive Medicine Center, Xiangya Hospital, Central South University, Changsha, Hunan, 410000, People's Republic of China.
Yeqing ZhangReproductive Medicine Center, Xiangya Hospital, Central South University, Changsha, Hunan, 410000, People's Republic of China.
Fen TianReproductive Medicine Center, Xiangya Hospital, Central South University, Changsha, Hunan, 410000, People's Republic of China.
Tingting LiaoReproductive Medicine Center, Xiangya Hospital, Central South University, Changsha, Hunan, 410000, People's Republic of China.
Lingqian WuCenter for Medical Genetics and Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South University, Changsha, Hunan, 410000, People's Republic of China. wulingqian@sklmg.edu.cn.
Yanping LiReproductive Medicine Center, Xiangya Hospital, Central South University, Changsha, Hunan, 410000, People's Republic of China. liyanp@csu.edu.cn.ORCID 0000-0002-4193-7321
Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety of short-term insemination and early-rescue intracytoplasmic sperm injection (ICSI), an approach that rescued oocytes with unclear second polar body 6 h after initial insemination by ICSI (early R-ICSI) to avoid total or near-total fertilization failure in conventional in vitro fertilization (IVF).

methodsWe performed a retrospective study in 16,769 patients (short-term IVF, n = 12,094; ICSI, n = 3452; early R-ICSI, n = 1223) who received IVF/ICSI treatment in our hospital from January 2009 to October 2018. Fertilization and clinical outcomes were compared among those three groups.

resultsWhen considering the R-ICSI embryos in the early R-ICSI group independently, the rates of fertilization and day-3 cleaved embryos in 2PN oocytes were comparable, the rates of fertilization (2PN) and high-quality embryos were lower, whereas the multi-PN fertilization rate (3.27%) was significantly higher than the ICSI group (1.26%). The difference of clinical pregnancy rate between the part of transferred R-ICSI embryos (40.81%) and the ICSI group (44.73%) remained nonsignificant. Furthermore, the rate of congenital birth defects in the early R-ICSI group (0.99%) was not significantly different from those in the short-term IVF (0.76%) and ICSI groups (1.07%).

conclusionDespite the multi-PN fertilization rate, our study highlights early R-ICSI as a safe and effective alternative in assisted reproduction to decrease complete IVF fertilization failure and reduce ICSI utilization. Additional large amount and long-term follow-up studies are needed to further validate the use of early R-ICSI.

Indexed as

SemenSperm Injections, IntracytoplasmicFemaleFertilizationFertilization in VitroHumansMalePregnancyPregnancy RateRetrospective StudiesCongenital birth defectsEarly-rescue ICSIIVFNeonatal outcomeTotal fertilization failure

Identifiers

PMID35380279
PMCPMC9300487
OpenAlexW4225659895

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LicenceCC BY
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Registered trials

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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.