在接受肩关节镜术的患者中感染的风险因素:系统性审查和元分析
1The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang City, Hunan Province, China.
The Journal of hospital infection
|May 23, 2024
概括
这一元分析确定了六个关键的风险因素,为肩膀关节镜感染:糖尿病,肥胖,高血压,男性性别,高ASA类,和吸烟史. 这些发现有助于识别患有术后感染风险较高的患者.
科学领域:
- 整形外科手术 整形外科手术
- 传染病流行病学 传染病流行病学
- 生物统计学 生物统计学
背景情况:
- 手术后感染是肩膀关节镜检查后的一个严重并发症.
- 确定患者特异性风险因素对于有效的预防策略至关重要.
研究的目的:
- 进行元分析,以确定肩膀关节镜检查后感染的风险.
- 识别与感染风险增加相关的重大风险因素.
主要方法:
- 在PubMed/Medline,Embase和Cochrane图书馆数据库中进行系统的文献搜索.
- 包括16项回顾性研究,包括74,759名患者.
- 随机效应模型用于计算聚合赔率比率 (OR) 和置信区间 (CI).
主要成果:
- 糖尿病 (OR,1.30;95% CI,1.20-1.41) 和高血压 (OR,1.26;95% CI,1.10-1.44) 与更高的感染风险有关.
- 肥胖 (OR, 1.42; 95% CI, 1.28-1.57),男性 (OR, 1.65; 95% CI, 1.12-2.44),ASA等级≥3 (OR, 2.02; 95% CI, 1.02-3.99),以及吸烟史 (OR, 2.44; 95% CI, 1.39-4.28) 也增加了感染的风险.
- 在年龄,手术持续时间或酒精消费与感染风险之间没有发现显著的关联.
结论:
- 六个与患者相关的因素显著增加了肩膀关节镜术后感染的风险.
- 识别这些风险因素 (糖尿病,肥胖,高血压,男性性别,ASA类,吸烟) 有助于风险分层.
- 这些发现可以为高风险手术患者提供有针对性的预防措施.
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