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. 2016 Aug 31;2016(8):CD001302. doi: 10.1002/14651858.CD001302.pub3

Koike 1999.

Methods Randomised, placebo‐controlled trial, single centre, unpublished
Participants 98 infertile women at risk of severe OHSS ( 43 albumin plus saline versus 55 saline alone) undergoing IVF/ICSI/GIFT
> 20 oocytes were retrieved from patients at high risk.The estradiol in their serum was not measured
 Age (32.1 versus 31.0 years)
 Duration of infertility (not stated)
 No. of hMG ampoules (not stated)
 No. of oocytes (27 versus 26.1)
 No. of embryos (19 versus 17)
Interventions Study group: 37.5 g albumin plus 1000 mL electrolyte solution just after oocyte retrieval
 Duration: consecutive 3 days
 Control group: 1000 mL electrolyte solution for consecutive 3 days
Outcomes Method of diagnosing severe OHSS: marked haemoconcentration (haematocrit ≥ 45) and/or hypoproteinaemia (serum total protein < 6.0 g/dL) in addition to marked ascites on the upper abdomen at least 4 days after oocyte retrieval (Orvieto and Ben‐Rafael,1998)
 Severe OHSS: 13/43 versus 21/55
 Pregnancy: 14/43 versus 24/55
 Method of diagnosing pregnancy: serum β‐hCG
 Tolerability: not stated
 Safety: not stated
 Cost‐benefit: not stated
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random number table
Allocation concealment (selection bias) Unclear risk Methods not reported
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Blinding not reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All randomised women included in analysis
Selective reporting (reporting bias) Unclear risk Adverse effects not reported as an outcome
Other bias Unclear risk No other potential bias identified
HHS Vulnerability Disclosure