在接受全关节关节整形手术的患者中,因艾滋病毒引起的并发症:系统性审查和元分析
Ramish Sumbal1, Saad Ashraf1, Anusha Sumbal1
1Dow University of Health Sciences, Baba-E-Urdu Road, Karachi, 74200, Pakistan.
Journal of orthopaedics
|December 16, 2024
概括
患有人类免疫缺陷病毒 (HIV) 感染的患者在全关节整形术 (TJA) 后面临更高的感染,医疗和外科并发症风险. 了解这些风险可以改善对接受TJA的HIV阳性个体的术后护理.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 整体关节整形术 (TJA) 是治疗末期关节疾病的常见手术.
- 人类免疫缺陷病毒 (HIV) 感染可能会影响手术结果.
- 关于艾滋病毒感染患者TJA后特定并发症的数据需要澄清.
研究的目的:
- 进行系统审查和元分析.
- 评估接受TJA的HIV感染患者的并发症风险.
- 为了确定特定的传染病,医疗和手术并发症.
主要方法:
- 16项研究的系统审查和元分析.
- 包括从电子数据库 (PubMed,Cochrane,Google Scholar) 到2023年5月的17974549名患者.
- 使用Revman进行的统计分析.
主要成果:
- 艾滋病毒感染患者在TJA后的传染性 (OR 1.82),医疗 (OR 1.85) 和手术 (OR 1.58) 并发症的风险显著增加.
- 亚组分析显示,在艾滋病毒感染患者的膝关节关节整形术和关节整形术后,感染性,医疗和手术并发症的风险增加.
- 异质性 (I2值) 根据并发症类型和程序而异.
结论:
- 艾滋病毒感染患者经历TJA后不良结果的风险增加.
- 对这些特定并发症的认识对于优化患者监测和术后管理至关重要.
- 进一步的研究可能会完善风险分层和管理策略.
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