PDF(Pubmed)
Abstract：
To assess the effect of telemedicine on stoma-related complications in adults with enterostomy, we conducted a meta-analysis to evaluate the effects of the telemedicine group compared to the usual group. Literature searches were performed in PubMed, Embase, Web of Science, The Cochrane Library, China Biology Medicine (CBM), China National Knowledge Infrastructure (CNKI), WanFang and VIP databases from their inception up to October 2023. Two authors independently screened and extracted data from the included and excluded literature according to predetermined criteria. Data collected were subjected to meta-analysis using Review Manager 5.3 software. The final analysis included a total of 22 articles, encompassing 2237 patients (telemedicine group: 1125 patients, usual group: 1112 patients). The meta-analysis results demonstrated that, compared to the usual group, the telemedicine group significantly reduced the overall occurrence of stoma-related complications, with an odds ratio (OR) of 0.22 (95% CI = 0.15-0.32, p < 0.00001). Furthermore, it resulted in a decrease in stoma complications (OR = 0.27, 95% CI = 0.15-0.47, p < 0.00001) and peristomal complications (OR = 0.25, 95% CI = 0.19-0.34, p < 0.00001). Therefore, the existing evidence suggests that the application of telemedicine can reduce the incidence of stoma and peristomal complications, making it a valuable clinical recommendation.
摘要：
评估远程医疗对成人肠造口相关并发症的影响，我们进行了一项荟萃分析,以评估远程医疗组与常规组相比的效果.文献检索在PubMed中进行，Embase,WebofScience,科克伦图书馆,中国生物医学（CBM），中国国家知识基础设施(CNKI),万方和VIP数据库从成立到2023年10月。两位作者根据预定标准从纳入和排除的文献中独立筛选和提取数据。使用ReviewManager5.3软件对收集的数据进行荟萃分析。最终分析共包括22篇文章，包括2237名患者(远程医疗组：1125名患者，常规组：1112例）。荟萃分析结果表明，与通常的组相比，远程医疗组显着降低了造口相关并发症的总体发生率，比值比（OR）为0.22（95%CI=0.15-0.32，p<0.00001）。此外，它减少了造口并发症(OR=0.27,95%CI=0.15-0.47,p<0.00001)和造口并发症(OR=0.25,95%CI=0.19-0.34,p<0.00001).因此,现有证据表明，远程医疗的应用可以降低造口和造口周围并发症的发生率，使其成为有价值的临床推荐。
