Weekday vs. weekend oocyte retrievals: is there a difference?

IF 2.1 4区 医学 Q2 OBSTETRICS & GYNECOLOGY Human Fertility Pub Date : 2023-12-01 Epub Date: 2023-04-27 DOI:10.1080/14647273.2023.2193908
Miriam Tarrash, Casey Sciandra, Alexandra Peyser, Randi H Goldman, Christine Mullin
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Abstract

The purpose of this study was to evaluate whether there is a difference in procedure duration and time spent in the post anaesthesia care unit (PACU) between weekday (WD) and weekend (WE) oocyte retrievals (ORs). This was a retrospective cohort study of patients compared and stratified based on number of oocytes retrieved (1-10, 11-20, and >20). Student's t-test and linear regression models were used to assess the relationship between AMH, BMI, and a number of oocytes retrieved with the duration of procedure and total time spent in the PACU. 664 patients underwent OR of which 578 met inclusion criteria and were analyzed. There were 501 WD OR cases (86%) and 77 (13%) WE ORs. When stratified by number of oocytes retrieved, there was no difference in procedure duration or PACU time between WD vs. WE OR. Longer procedure times were associated with higher BMI (p = 0.04), AMH (p = 0.01) and oocytes retrieved (p < 0.01). Increased PACU times positively correlated with the number of oocytes retrieved (p = 0.04), but not AMH or BMI. While BMI, AMH, and number of oocytes retrieved are associated with longer intra-operative and post-operative recovery times, there is no difference in procedure or recovery time when comparing WD vs. WE procedures.

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平日与周末取卵:有区别吗?
本研究的目的是评估平日(WD)和周末(WE)卵母细胞取回术(OR)的手术持续时间和在麻醉后护理病房(PACU)所花费的时间是否存在差异。这是一项回顾性队列研究,根据取卵数量(1-10 个、11-20 个和大于 20 个)对患者进行比较和分层。研究采用了学生 t 检验和线性回归模型来评估 AMH、BMI 和取卵数量与手术持续时间和 PACU 总停留时间之间的关系。664 名患者接受了手术,其中 578 人符合纳入标准并接受了分析。其中有 501 例 WD 手术(86%)和 77 例 WE 手术(13%)。根据取回的卵母细胞数量进行分层后,WD 与 WE 手术的手术持续时间或 PACU 时间没有差异。较长的手术时间与较高的 BMI(P = 0.04)、AMH(P = 0.01)和取卵细胞数(P = 0.04)有关,但与 AMH 或 BMI 无关。虽然 BMI、AMH 和取卵数与较长的术中和术后恢复时间有关,但在比较 WD 与 WE 手术时,手术或恢复时间没有差异。
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来源期刊
Human Fertility
Human Fertility OBSTETRICS & GYNECOLOGY-REPRODUCTIVE BIOLOGY
CiteScore
3.30
自引率
5.30%
发文量
50
期刊介绍: Human Fertility is a leading international, multidisciplinary journal dedicated to furthering research and promoting good practice in the areas of human fertility and infertility. Topics included span the range from molecular medicine to healthcare delivery, and contributions are welcomed from professionals and academics from the spectrum of disciplines concerned with human fertility. It is published on behalf of the British Fertility Society. The journal also provides a forum for the publication of peer-reviewed articles arising out of the activities of the Association of Biomedical Andrologists, the Association of Clinical Embryologists, the Association of Irish Clinical Embryologists, the British Andrology Society, the British Infertility Counselling Association, the Irish Fertility Society and the Royal College of Nursing Fertility Nurses Group. All submissions are welcome. Articles considered include original papers, reviews, policy statements, commentaries, debates, correspondence, and reports of sessions at meetings. The journal also publishes refereed abstracts from the meetings of the constituent organizations.
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