2013-2017年中国住院患者中重度卵巢过度刺激综合征的发病率

Health data science Pub Date : 2023-03-15 eCollection Date: 2023-01-01 DOI:10.34133/hds.0009
Danni Zheng, Ying Shi, Yuanyuan Wang, Rong Li, Xiaoyu Long, Jie Qiao
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引用次数: 0

摘要

背景:卵巢过度刺激综合征(OHSS卵巢过度刺激综合征(OHSS)发生在接受生育治疗的妇女身上。中度和重度卵巢过度刺激综合征病例需要住院治疗。在中国,中度和重度卵巢过度刺激综合征的发病率以及这些病例的特征尚不清楚。我们旨在评估2013年至2017年间中国国家数据库中中度和重度OHSS的发病率:我们从全国住院患者数据收集系统--医院质量监测系统中提取了中度和重度OHSS病例。我们使用了中国国家卫生健康委员会年度报告中的取卵(OPUbaidu)周期数据,该数据是在全国抗逆转录病毒疗法管理信息系统收集的 OPU 数据基础上开发的。我们计算了中国中度和重度OHSS的总体发病率(20至50岁女性)和各历年的具体发病率。我们还调查了OHSS和伴有不同合并症的OHSS的年龄分布:我们抽取了18022名符合条件的中度或重度OHSS患者和1581703个OPU周期。2013年至2017年间,中度和重度OHSS的总体发病率为1.14%。特定年份的中度和重度OHSS发病率分别为:2013年1.1%、2014年1.4%、2015年1.4%、2016年1.1%、2017年0.9%。26至30岁的女性占OHSS病例的48.4%,其次是31至35岁的女性(30%)和20至25岁的女性(14.2%)。不同合并症的OHSS的年龄分布模式一致:本研究首次使用全国性数据报告了中国中度和重度OHSS的发病率。我们的研究结果表明,35 岁以下接受辅助生殖技术的女性在控制 OHSS 风险方面需要比其他年龄段的女性更多的关注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Incidence of Moderate and Severe Ovarian Hyperstimulation Syndrome in Hospitalized Patients in China.

Background: Ovarian hyperstimulation syndrome (OHSS) occurs in women receiving fertility treatments. Moderate and severe OHSS cases are required to be admitted to hospital for treatment. The incidence of moderate and severe OHSS and the characteristics of these cases are unknown in China. We aimed to assess the incidence of moderate and severe OHSS in national databases from China between 2013 and 2017.

Methods: We extracted moderate and severe OHSS cases from the Hospital Quality Monitoring System, the nationwide inpatient data collection system. We used ovum pick-up (OPUbaidu) cycle data from the annual report of China's National Health Commission, developed on the basis of OPU data collected by National ART Management Information System. Overall incidence of moderate and severe OHSS (women aged 20 to 50 years) and year-specific incidence by each calendar year in China were calculated. We also investigated the age distribution in OHSS and OHSS with different comorbidities.

Results: We extracted 18,022 eligible patients with moderate or severe OHSS and 1,581,703 OPU cycles. The overall incidence of moderate and severe OHSS between 2013 and 2017 was 1.14%. The year-specific moderate and severe OHSS incidence was 1.1% in 2013, 1.4% in 2014, 1.4% in 2015, 1.1% in 2016, 0.9% in 2017, respectively. Women aged 26 to 30 years accounted for 48.4% of OHSS cases, followed by women aged 31 to 35 years (30%) and 20 to 25 years (14.2%). The age distribution pattern was consistent across OHSS with different comorbidities.

Conclusions: This study reported the incidence of moderate and severe OHSS in China using nationwide data for the first time. Our findings support that women aged under 35 years receiving assisted reproductive technology need more attention than other age groups in terms of OHSS risk control.

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