在全关节置换患者中,在90天内重新住院的危险因素:元分析
Liping Zeng1, Hua Cai, Aling Qiu
1Department of Orthopaedics, No. 910 Hospital of The Chinese People's Liberation Army Joint Logistic Support Force, Quanzhou, China.
这项研究确定了全面关节置换 (TJR) 后90天再入院的关键风险因素. 诸如心力衰竭,糖尿病和感染等疾病显著增加了再入院风险,指导了预防策略.
科学领域:
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 由于复杂和多样化的风险因素,了解全面关节置换 (TJR) 后的90天再接收至关重要.
- 很少有系统审查全面分析了这些风险因素.
研究的目的:
- 系统地审查和元分析与全面关节置换后的90天再入院相关的风险因素.
- 确定预测TJR后意外再入院的关键患者和临床因素.
主要方法:
- 在Web of Science,Embase,PubMed和CNKI数据库中进行了系统的文献搜索,直到2022年12月.
- 关键词包括"危险因素"",再住院"和各种"全关节置换"类型.
- 使用纽卡斯尔-太华尺度 (NOS) 评估方法质量.
主要成果:
- 在68336名TJR患者中,5.4%的患者经历了90天的再入院.
- 显著的危险因素包括美国麻醉学会 (ASA) 的高学历,心力衰竭,糖尿病,肝病,酒精消耗,抑郁症,尿路感染和深静脉血栓症.
- 高血压,吸烟和肺炎与再入院没有显著的关联.
结论:
- 鉴定的风险因素为管理TJR患者的临床医生提供了宝贵的见解.
- 建议制定风险分层和有针对性的干预策略,以降低再接收率并改善患者的康复.
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