{"title":"腹部手术中手术部位感染的发生率和风险因素:队列研究和病例对照研究的范围界定综述。","authors":"Fereidoun Jahangir, AliAkbar Haghdoost, Hossein Moameri, Maryam Okhovati","doi":"10.30476/ijms.2024.100819.3338","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%, χ<sup>2</sup>=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.</p><p><strong>Conclusion: </strong>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. 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引用次数: 0
摘要
背景:腹部手术被认为是发生手术部位感染(SSI)的高风险手术。很少有研究评估腹部手术中手术部位感染风险因素一致性的相对重要性。因此,这篇综合综述文章对证据进行了映射和总结,旨在确定腹部手术中 SSI 风险因素和发生率的相对重要性:使用 Scopus、PubMed 和 Web of Science 等电子数据库和搜索引擎对截至 2023 年 3 月 16 日的文献进行了综述。纳入研究的论文没有语言限制。采用乔安娜-布里格斯研究所(Joanna Briggs Institute)的方法对风险因素的相对一致性进行了测量和评估。如果包含所有类型的 SSI,则纳入同行评审的原始队列研究和病例对照研究。进行 Meta 分析以确定 SSI 发生率的汇总估计值:结果:在 14,237 份已确认的记录中,有 107 篇文章被纳入审查范围。SSI的汇总发生率为10.6%(95% CI:9.02-12.55%,χ2=12986.44,PC结论:本研究结果表明,腹部手术中的 SSI 是一种多因素现象,具有相当大的风险,而且不同的风险因素具有不同的相对重要性。强烈建议确定危险因素的相对重要性,以预防和控制 SSI。本稿件已作为预印本在研究广场发布:(https://doi.org/10.21203/rs.3.rs-3219597/v1)。
Incidence and Risk Factors of Surgical Site Infection in Abdominal Surgeries: A Scoping Review of Cohort and Case-Control Studies.
Background: 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.
Methods: 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.
Results: 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.
Conclusion: 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).
期刊介绍:
The Iranian Journal of Medical Sciences (IJMS) is an international quarterly biomedical publication, which is sponsored by Shiraz University of Medical Sciences. The IJMS intends to provide a scientific medium of communication for researchers throughout the globe. The journal welcomes original clinical articles as well as clinically oriented basic science research experiences on prevalent diseases in the region and analysis of various regional problems.