PDF(Pubmed)
Abstract：
UNASSIGNED: Abdominal surgery is considered a high-risk procedure for the development of surgical site infection (SSI). Few studies have evaluated the relative importance of surgical site infection risk factors in terms of consistency in abdominal surgery. Therefore, this comprehensive review article mapped and summarized the evidence aimed to determine the relative importance of the risk factors and incidence of SSIs in abdominal surgery.
UNASSIGNED: A literature review was conducted using electronic databases and search engines such as Scopus, PubMed, and Web of Science up to March 16, 2023. There was no language restriction for the papers to be included in the study. The relative consistency of the risk factors was measured and evaluated using the methodology of the Joanna Briggs Institute. Original peer-reviewed cohort and case-control studies were included if all types of SSIs were included. Meta-analysis was performed to determine the pooled estimates of SSI incidences.
UNASSIGNED: Of 14,237 identified records, 107 articles were included in the review. The pooled incidence of SSI was 10.6% (95% CI: 9.02-12.55%, χ2=12986.44, P<0.001). Operative time and higher wound class were both significant consistent risk factors for SSI incidence. Patients\' educational status, malnutrition, functional status, and history of neurological/psychiatric disorders were all candidates for consistent risk factors, with insufficient evidence.
UNASSIGNED: The findings of the present study indicated that SSI in abdominal surgery was a multifactorial phenomenon with a considerable risk and had different risk factors with various relative importance. Determining the relative importance of the risk factors for the prevention and control of SSI is strongly recommended.This manuscript has been released as a preprint at the research square: (https://doi.org/10.21203/rs.3.rs-3219597/v1).
UNASSIGNED: A literature review was conducted using electronic databases and search engines such as Scopus, PubMed, and Web of Science up to March 16, 2023. There was no language restriction for the papers to be included in the study. The relative consistency of the risk factors was measured and evaluated using the methodology of the Joanna Briggs Institute. Original peer-reviewed cohort and case-control studies were included if all types of SSIs were included. Meta-analysis was performed to determine the pooled estimates of SSI incidences.
UNASSIGNED: Of 14,237 identified records, 107 articles were included in the review. The pooled incidence of SSI was 10.6% (95% CI: 9.02-12.55%, χ2=12986.44, P<0.001). Operative time and higher wound class were both significant consistent risk factors for SSI incidence. Patients\' educational status, malnutrition, functional status, and history of neurological/psychiatric disorders were all candidates for consistent risk factors, with insufficient evidence.
UNASSIGNED: The findings of the present study indicated that SSI in abdominal surgery was a multifactorial phenomenon with a considerable risk and had different risk factors with various relative importance. Determining the relative importance of the risk factors for the prevention and control of SSI is strongly recommended.This manuscript has been released as a preprint at the research square: (https://doi.org/10.21203/rs.3.rs-3219597/v1).
摘要：
■腹部手术被认为是发生手术部位感染（SSI）的高风险程序。很少有研究评估手术部位感染危险因素在腹部手术一致性方面的相对重要性。因此,这篇全面的综述文章绘制并总结了旨在确定腹部手术中SSIs的危险因素和发生率的相对重要性的证据。
■使用电子数据库和诸如Scopus之类的搜索引擎进行了文献综述，PubMed,和WebofScience截至2023年3月16日。研究中的论文没有语言限制。使用JoannaBriggs研究所的方法测量和评估风险因素的相对一致性。如果包括所有类型的SSIs，则包括原始同行评审的队列和病例对照研究。进行荟萃分析以确定SSI发病率的汇总估计值。
■在14,237条确定的记录中，107篇文章被纳入审查。SSI的合并发生率为10.6%(95%CI:9.02-12.55%,χ2=12986.44,P<0.001)。手术时间和较高的伤口等级是SSI发生率的显著一致的危险因素。患者的教育状况，营养不良,功能状态，和神经/精神疾病的历史都是一致的危险因素的候选人，证据不足。
■本研究的结果表明，腹部手术中的SSI是一种多因素现象，具有相当大的风险，并且具有不同的相对重要性的危险因素。强烈建议确定危险因素对预防和控制SSI的相对重要性。该手稿已在研究广场上作为预印本发布：（https://doi.org/10.21203/rs.3。rs-3219597/v1）。
■使用电子数据库和诸如Scopus之类的搜索引擎进行了文献综述，PubMed,和WebofScience截至2023年3月16日。研究中的论文没有语言限制。使用JoannaBriggs研究所的方法测量和评估风险因素的相对一致性。如果包括所有类型的SSIs，则包括原始同行评审的队列和病例对照研究。进行荟萃分析以确定SSI发病率的汇总估计值。
■在14,237条确定的记录中，107篇文章被纳入审查。SSI的合并发生率为10.6%(95%CI:9.02-12.55%,χ2=12986.44,P<0.001)。手术时间和较高的伤口等级是SSI发生率的显著一致的危险因素。患者的教育状况，营养不良,功能状态，和神经/精神疾病的历史都是一致的危险因素的候选人，证据不足。
■本研究的结果表明，腹部手术中的SSI是一种多因素现象，具有相当大的风险，并且具有不同的相对重要性的危险因素。强烈建议确定危险因素对预防和控制SSI的相对重要性。该手稿已在研究广场上作为预印本发布：（https://doi.org/10.21203/rs.3。rs-3219597/v1）。
