Risk factors for infection in patients undergoing knee arthroscopy: A Systematic Review and Meta-analysis.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2024-07-09 DOI:10.1016/j.jhin.2024.06.013

Yuanhu Lei, Yuhuan Zeng, Zhengyu Li, Zhihong Xiao, Guojun Tang, Yi Liu, Changming Xiao, Mingjiang Luo, Huyong Yan, Hao Chen, Xiaoxu Wang

{"title":"Risk factors for infection in patients undergoing knee arthroscopy: A Systematic Review and Meta-analysis.","authors":"Yuanhu Lei, Yuhuan Zeng, Zhengyu Li, Zhihong Xiao, Guojun Tang, Yi Liu, Changming Xiao, Mingjiang Luo, Huyong Yan, Hao Chen, Xiaoxu Wang","doi":"10.1016/j.jhin.2024.06.013","DOIUrl":null,"url":null,"abstract":"Purpose: The primary aim was to determine the risk of infection after knee arthroscopy and to evaluate the risk factors for surgical site infection (SSI).Methods: The PubMed/Medline, Embase and Cochrane Library databases were systematically searched, as were the reference lists of previous systematic reviews and meta-analysis manual studies. A random-effects model was used to calculate the estimated pooled odds ratio (OR).Results: A total of 38,321 potential articles met the initial inclusion criteria. After a review of the titles, abstracts and full texts, the remaining 41 articles were included in the final analysis. We identified 9,089,578 patients who underwent knee arthroscopy in 41 articles. High-quality (class I) evidence showed that autografts (cruciate ligament reconstruction) (OR, 2.66% CI, 1.84-3.86) or high procedure complexity (OR, 2.02;95% CI, 1.69-2.43) had a higher risk of infection, while medium-quality (class II or class III) evidence showed that obesity (BMI ≥ 30 kg/m2) (OR, 1.27; 95% CI, 1.08-1.49) or male (OR, 1.52; 95% CI, 1.32-1.75) or diabetes (OR, 1.71; 95% CI, 1.36-2.14) or tobacco use (OR, 1.65; 95% CI, 1.38-1.97) or preoperative steroid use (OR, 3.41; 95% CI, 2.10-5.54) had a higher risk of infection. The meta-analysis showed that there was no association between age or antibiotic prophylaxis and infection incidence.Conclusions: The meta-analysis showed that significant risk factors for infection after knee arthroscopy included obesity, male sex, diabetes, tobacco use, high procedure complexity, graft type, and preoperative steroid use.Level of evidence: Level IV, systematic review of Level III and Level IV studies.","PeriodicalId":3,"journal":{"name":"ACS Applied Electronic Materials","volume":null,"pages":null},"PeriodicalIF":4.3000,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Electronic Materials","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jhin.2024.06.013","RegionNum":3,"RegionCategory":"材料科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENGINEERING, ELECTRICAL & ELECTRONIC","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: The primary aim was to determine the risk of infection after knee arthroscopy and to evaluate the risk factors for surgical site infection (SSI).

Methods: The PubMed/Medline, Embase and Cochrane Library databases were systematically searched, as were the reference lists of previous systematic reviews and meta-analysis manual studies. A random-effects model was used to calculate the estimated pooled odds ratio (OR).

Results: A total of 38,321 potential articles met the initial inclusion criteria. After a review of the titles, abstracts and full texts, the remaining 41 articles were included in the final analysis. We identified 9,089,578 patients who underwent knee arthroscopy in 41 articles. High-quality (class I) evidence showed that autografts (cruciate ligament reconstruction) (OR, 2.66% CI, 1.84-3.86) or high procedure complexity (OR, 2.02;95% CI, 1.69-2.43) had a higher risk of infection, while medium-quality (class II or class III) evidence showed that obesity (BMI ≥ 30 kg/m²) (OR, 1.27; 95% CI, 1.08-1.49) or male (OR, 1.52; 95% CI, 1.32-1.75) or diabetes (OR, 1.71; 95% CI, 1.36-2.14) or tobacco use (OR, 1.65; 95% CI, 1.38-1.97) or preoperative steroid use (OR, 3.41; 95% CI, 2.10-5.54) had a higher risk of infection. The meta-analysis showed that there was no association between age or antibiotic prophylaxis and infection incidence.

Conclusions: The meta-analysis showed that significant risk factors for infection after knee arthroscopy included obesity, male sex, diabetes, tobacco use, high procedure complexity, graft type, and preoperative steroid use.

Level of evidence: Level IV, systematic review of Level III and Level IV studies.

查看原文本刊更多论文

膝关节镜手术患者感染的风险因素：系统回顾和元分析。

目的：主要目的是确定膝关节镜手术后的感染风险，并评估手术部位感染（SSI）的风险因素：方法：系统检索了 PubMed/Medline、Embase 和 Cochrane 图书馆数据库，以及以往系统综述和荟萃分析手册研究的参考文献列表。结果：共有 38,321 篇潜在文章符合初步纳入标准。在对标题、摘要和全文进行审查后，剩余的 41 篇文章被纳入最终分析。我们在 41 篇文章中确定了 9089578 名接受膝关节镜手术的患者。高质量（I级）证据显示，自体移植物（十字韧带重建）（OR，2.66% CI，1.84-3.86）或手术复杂度高（OR，2.02;95% CI，1.69-2.43）的感染风险更高，而中等质量（II级或III级）证据显示，肥胖（体重指数≥30 kg/m2）（OR，1.27；95% CI，1.08-1.49）或男性（OR，1.52；95% CI，1.32-1.75）或糖尿病（OR，1.71；95% CI，1.36-2.14）或吸烟（OR，1.65；95% CI，1.38-1.97）或术前使用类固醇（OR，3.41；95% CI，2.10-5.54）有更高的感染风险。荟萃分析表明，年龄或抗生素预防与感染发生率之间没有关联：荟萃分析表明，膝关节镜手术后感染的重要风险因素包括肥胖、男性、糖尿病、吸烟、手术复杂度高、移植物类型和术前使用类固醇：IV级，对III级和IV级研究的系统回顾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567