PDF(Pubmed)
Abstract：
UNASSIGNED: Surgical site infections (SSIs) are among the most common healthcare-associated infections occurring following 1%-3% of all surgical procedures. Their rates are the highest following abdominal surgery. They are still associated with increased morbidity and healthcare costs despite the advancement in the medical field. Many risk factors for SSIs following abdominal surgery have been identified. The aim of this study is to comprehensively assess these risk factors as published in peer-reviewed journals.
UNASSIGNED: A systematic review was conducted with accordance to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.
UNASSIGNED: The databases for search were PubMed and Cochrane Library, in addition to reference lists. Studies were retrieved and assessed for their quality. Data were extracted in a designed form, and a stratified synthesis of data was conducted to report the significant risk factors.
UNASSIGNED: Patients undergoing general abdominal surgery.
UNASSIGNED: The intervention of general abdominal surgery.
UNASSIGNED: To identify and assess the risk factors for SSI following abdominal surgery.
UNASSIGNED: Literature search yielded 813 articles, and the final screening process identified 11 eligible studies. The total number of patients is 11 996. The rates of SSI ranged from 4.09% to 26.7%. Nine studies were assessed to be of high quality, the remaining two studies have moderate quality. Stratified synthesis of data was performed for risk factors using summary measures (OR/risk ratio, 95% CI, and p value). Male sex and increased body mass index (BMI) were identified as significant demographic risk factors, and long operative time was among the major significant procedure-related risk factors.
UNASSIGNED: Male sex, increased BMI, diabetes, smoking, American Society of Anesthesiologists classification of >2, low albumin level, low haemoglobin level, preoperative hospital stay, long operative time, emergency procedure, open surgical approach, increased wound class, intraoperative blood loss, perioperative infection, perioperative blood transfusion, and use of drains are potential independent risk factors for SSI following abdominal surgery.
UNASSIGNED: A systematic review was conducted with accordance to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.
UNASSIGNED: The databases for search were PubMed and Cochrane Library, in addition to reference lists. Studies were retrieved and assessed for their quality. Data were extracted in a designed form, and a stratified synthesis of data was conducted to report the significant risk factors.
UNASSIGNED: Patients undergoing general abdominal surgery.
UNASSIGNED: The intervention of general abdominal surgery.
UNASSIGNED: To identify and assess the risk factors for SSI following abdominal surgery.
UNASSIGNED: Literature search yielded 813 articles, and the final screening process identified 11 eligible studies. The total number of patients is 11 996. The rates of SSI ranged from 4.09% to 26.7%. Nine studies were assessed to be of high quality, the remaining two studies have moderate quality. Stratified synthesis of data was performed for risk factors using summary measures (OR/risk ratio, 95% CI, and p value). Male sex and increased body mass index (BMI) were identified as significant demographic risk factors, and long operative time was among the major significant procedure-related risk factors.
UNASSIGNED: Male sex, increased BMI, diabetes, smoking, American Society of Anesthesiologists classification of >2, low albumin level, low haemoglobin level, preoperative hospital stay, long operative time, emergency procedure, open surgical approach, increased wound class, intraoperative blood loss, perioperative infection, perioperative blood transfusion, and use of drains are potential independent risk factors for SSI following abdominal surgery.
摘要：
■手术部位感染（SSIs）是最常见的医疗保健相关感染，占所有外科手术的1％-3％。他们的比率是腹部手术后最高的。尽管医学领域取得了进步，但它们仍然与发病率和医疗保健成本的增加有关。已经确定了腹部手术后SSIs的许多危险因素。这项研究的目的是全面评估发表在同行评审期刊上的这些风险因素。
■根据系统评价和荟萃分析指南的首选报告项目进行系统评价。
■用于搜索的数据库是PubMed和CochraneLibrary，除了参考列表。检索研究并评估其质量。数据以设计的形式提取，并对数据进行分层综合,以报告显著的危险因素.
■接受普通腹部手术的患者。
■普通腹部手术的干预。
■确定和评估腹部手术后SSI的危险因素。
■文献检索产生813篇文章，最终筛选过程确定了11项符合条件的研究.患者总数为11996。SSI发生率为4.09%～26.7%。九项研究被评估为高质量的，其余两项研究质量中等。使用汇总措施对风险因素进行分层综合数据(OR/风险比，95%CI和p值)。男性和增加的体重指数（BMI）被确定为显著的人口危险因素，手术时间长是手术相关的主要危险因素。
■男性,BMI增加,糖尿病,吸烟,美国麻醉医师学会分类>2，低白蛋白水平，低血红蛋白水平，术前住院时间,手术时间长,紧急程序,开放手术入路,增加伤口类，术中失血,围手术期感染,围手术期输血,和使用引流管是腹部手术后发生SSI的潜在独立危险因素.
■根据系统评价和荟萃分析指南的首选报告项目进行系统评价。
■用于搜索的数据库是PubMed和CochraneLibrary，除了参考列表。检索研究并评估其质量。数据以设计的形式提取，并对数据进行分层综合,以报告显著的危险因素.
■接受普通腹部手术的患者。
■普通腹部手术的干预。
■确定和评估腹部手术后SSI的危险因素。
■文献检索产生813篇文章，最终筛选过程确定了11项符合条件的研究.患者总数为11996。SSI发生率为4.09%～26.7%。九项研究被评估为高质量的，其余两项研究质量中等。使用汇总措施对风险因素进行分层综合数据(OR/风险比，95%CI和p值)。男性和增加的体重指数（BMI）被确定为显著的人口危险因素，手术时间长是手术相关的主要危险因素。
■男性,BMI增加,糖尿病,吸烟,美国麻醉医师学会分类>2，低白蛋白水平，低血红蛋白水平，术前住院时间,手术时间长,紧急程序,开放手术入路,增加伤口类，术中失血,围手术期感染,围手术期输血,和使用引流管是腹部手术后发生SSI的潜在独立危险因素.
