感染作为中风患者再入院的关键决定因素:系统性审查和元分析
Abbas Heydari1, Amir Mirhaghi2, Kavian Ghandehari3
1Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Iranian journal of public health
|August 8, 2025
概括
感染显著增加了中风患者的再入院率. 解决与感染有关的住院治疗需要包括临床护理,技术和教育在内的综合战略.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 脑卒中是导致长期残疾和死亡的主要原因.
- 脑卒中后患者再接收是一个重大问题,影响医疗保健成本和患者的治疗结果.
- 识别导致中风再入院的因素对于制定有效的预防策略至关重要.
研究的目的:
- 确定中风患者感染和再入院之间的关系.
- 在中风幸存者中量化与感染相关的再入院风险.
- 为有针对性的干预提供证据,以减少与感染相关的中风再入院.
主要方法:
- 按照PRISMA 2020指南进行系统审查和元分析.
- 在主要数据库 (PubMed, Web of Science, CINAHL, Scopus, Google Scholar) 进行全面的文献搜索,直到2024年.
- 随机效应模型用于计算感染作为风险因素的再接收率和几率比率 (OR).
主要成果:
- 由于感染,中风患者的再入院率在6.5%至30.0% (30天) 和5.1%至24.5% (一年) 之间.
- 感染是中风再入院的重要风险因素,相对风险 (RR) 和赔率比 (OR) 从1.31到1.68.
- 在队列研究 (RR 1.38,P<0.001),病例控制研究 (OR 1.68,P=0.006) 和描述分析研究 (OR 1.31,P=0.008) 中观察到统计学意义.
结论:
- 感染是中风患者再入院的主要原因之一,需要紧急注意.
- 综合临床护理,技术进步和患者教育的整体战略对于减轻与感染有关的再入院至关重要.
- 需要进一步的研究来开发和评估全面的干预措施,以管理中风患者的感染,并降低再入院率.
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