周末对脏移植结果的影响:元分析
Haifeng Wang1, Yi Yi1, Tan Xiao1
1Department of Urology, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, Fujian, China.
PloS one
|June 16, 2023
概括
周末进行的移植显示,与周日手术相比,患者和移植的存活率相似. 这一系统性审查发现结果没有显著差异,这表明周末移植是适当的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植手术 移植手术
- 公共卫生 公共卫生
背景情况:
- 这是一个很棒的节目,这是一个很棒的节目.
- 周末效应是周末的效应.
- 在医疗保健中可能会影响患者的结果,需要对移植进行调查.
- 之前的研究表明,基于入院时间的治疗可能存在差异.
研究的目的:
- 系统地评估移植结果是否在周末和周日入院之间存在差异.
- 为了比较周末和周日移植的患者存活率,移植存活率和并发症率.
主要方法:
- 系统审查2000年1月至2023年1月期间发表的研究.
- 搜索的数据库包括PubMed,EMBASE和科克兰图书馆.
- 包括的研究比较了周末的存活率和并发症,而不是周日的移植住院患者.
主要成果:
- 对五项研究 (n=163,506) 的分析显示,周末移植患者的患者存活率 (HR 1.01,95% CI 0.96-1.06) 没有统计学上显著的差异.
- 在周末和周日移植之间,全移植存活率 (HR 1.01,95% CI 0.99-1.03) 和死亡审查的全移植存活率 (HR 1.01,95% CI 0.98-1.04) 是可比的.
- 在住院时间,排斥率或手术/血管并发症方面没有发现显著差异.
结论:
- 周末移植与周末移植的生存率和并发症概况相似,与周日移植相似.
- "周末效应"对移植结果的影响很小.
- 周末的移植与周日的移植一样合适.
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