Abstract:
We conducted a meta-analysis to determine the risk of infection following shoulder arthroscopy and to identify risk factors for infection. We systematically searched the PubMed/Medline, Embase and Cochrane Library databases, as well as the reference lists of previous systematic reviews and meta-analyses; manual searches were also performed. A random-effects model was employed to estimate pooled odds ratios (ORs), based on sample size, the P-value of Egger\'s test and heterogeneity among studies. Of the 29,342 articles screened, 16 retrospective studies comprising 74,759 patients were included. High-quality evidence showed that patients with diabetes (OR, 1.30; 95% confidence interval (CI), 1.20-1.41) or hypertension (OR, 1.26; 95% CI, 1.10-1.44) had a higher risk of infection, while moderate quality evidence showed that patients with obesity (body mass index ≥30 kg/m2) (OR, 1.42; 95% CI, 1.28-1.57), those who were male (OR, 1.65; 95% CI, 1.12-2.44), those who had an American Society of Anesthesiologists (ASA) class ≥3 (OR, 2.02; 95% CI, 1.02-3.99) and those who had a history of smoking (OR, 2.44; 95% CI, 1.39-4.28) had a higher risk of infection. The meta-analysis revealed that there was no association between age, time of surgery, or alcohol consumption and infection. This meta-analysis identified six significant risk factors for infection following shoulder arthroscopy including diabetes, obesity, hypertension, male sex, ASA class, history of smoking. These patient-related risk factors may help identify postoperative patients at higher risk for infection following shoulder arthroscopy.
摘要:
目的:我们进行了一项荟萃分析,以确定肩关节镜术后感染的风险,并确定感染的危险因素。
方法:我们系统地搜索了PubMed/Medline,Embase和Cochrane图书馆数据库,以及以前的系统评价和荟萃分析的参考列表;还进行了手动搜索.采用随机效应模型来估计合并OR,根据样本量,Egger检验的p值与研究间的异质性。
结果:在筛选的29,342篇文章中,纳入16项回顾性研究,包括74,759例患者。高质量的证据表明,糖尿病患者(OR,1.30;95%CI,1.20-1.41)或高血压(OR,1.26;95%CI,1.10-1.44)具有较高的感染风险,而中等质量证据表明,肥胖患者(BMI≥30kg/m2)(OR,1.42;95%CI,1.28-1.57),那些是男性的(或者,1.65;95%CI,1.12-2.44),ASA等级≥3级的人(或,2.02;95%CI,1.02-3.99)和有吸烟史的人(OR,2.44;95%CI,1.39-4.28)具有较高的感染风险。荟萃分析显示,年龄之间没有关联,手术时间,或饮酒和感染。
结论:这项荟萃分析确定了肩关节镜后感染的六个重要危险因素,包括糖尿病,肥胖,高血压,男性,ASA类,吸烟史。这些与患者相关的危险因素可能有助于识别肩关节镜检查术后感染风险较高的患者。
方法:四级,系统评价III级和IV级研究。
背景:审查方案已在PROSPERO中注册。唯一标识号(UIN)是“CRD42023463316”。