关节镜术后静脉血栓栓塞的危险因素:系统性审查和元分析
Haoxuan Li1, Huan Zhang1, Shengjie Zhou1
1Department of Orthopedics, Yanbian University Hospital, Yanji, Jilin, 133000, China.
Journal of orthopaedic surgery and research
|February 5, 2025
概括
在关节镜检查后的术后静脉血栓塞栓症 (VTE) 与肥胖,吸烟和45岁以上的年龄有关. 识别这些风险因素对于制定有效的预防策略和降低医疗保健成本至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 血管医学 血管医学
- 基于证据的医学 基于证据的医学
背景情况:
- 在关节透视术后的术后静脉血栓塞栓症 (VTE) 会导致医院再入院和费用增加.
- 在关节透视术后确定可修改和不可修改的VTE风险因素对于临床实践至关重要.
研究的目的:
- 在关节镜检查后量化确定术后静脉瘤风险因素.
- 提供证据,以制定临床预防策略VTE在关节镜患者.
主要方法:
- 在主要数据库 (PubMed,Embase,Web of Science,Scopus,Cochrane Library) 进行系统的文献搜索,截至2024年12月10日.
- 5项研究的元分析,包括71,815名接受关节透视术的患者.
- 使用纽卡斯尔-太华尺度进行质量评估,并使用95%置信区间 (CI) 计算赔率比率 (ORs).
主要成果:
- 肥胖被确定为一个显著的危险因素 (OR: 1.41,95% CI: 1.23-1.61).
- 吸烟也是一个重要的风险因素 (OR:1.23,95% CI:1.04-1.45).
- 45岁以上的年龄是一个显著的风险因素 (OR: 1.49,95% CI: 1.03-2.15)
结论:
- 肥胖,吸烟和45岁以上的年龄是关节透视术后手术后风险因素.
- 这些发现支持在接受关节透视术的高危患者群体中针对性VTE预防策略.
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