{"title":"骨科器械相关压力损伤的发生率和危险因素：系统回顾和荟萃分析。","authors":"Yaqi Guan, Lidan Zheng, Yueying Zhu","doi":"10.1097/JTN.0000000000000831","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>As orthopedic trauma increases, the resultant use of orthopedic devices and associated pressure injuries has increased.</p><p><strong>Objective: </strong>This study aims to systematically evaluate the incidence and risk factors for orthopedic device-related pressure injuries.</p><p><strong>Methods: </strong>A systematic review and meta-analysis was conducted by searching PubMed, Embase, Cochrane Library, Web of Science, ClNAHL, China National Knowledge Infrastructure, Wanfang Database, and Chinese BioMedical Literature Database from their inception until November 30, 2023. The population included adult orthopedic surgery patients aged 18 and older. Studies included case-control, cohort, or cross-sectional designs reporting risk factors, incidence, or predictors of orthopedic device-related pressure injuries published in Chinese or English. Exclusion criteria included unavailable full text, duplicate publications, reviews, animal studies, and conference abstracts. Two researchers independently screened the literature, extracted the data, and assessed the quality of the literature.</p><p><strong>Results: </strong>A total of eight papers involving 3,783 patients were included. Meta-analysis showed that the incidence of orthopedic device-related pressure injuries was 12.0%. Significant risk factors included duration of device wear [OR 1.197, 95% Cl (1.025, 1.369), p = .016] and the length of stay [OR 1.144, 95% CI (1.096, 1.199), p < .001].</p><p><strong>Conclusion: </strong>The duration of device wear and length of stay are key factors contributing to orthopedic device-related pressure injuries. Clinicians should actively monitor and manage these factors to reduce the risk of these injuries.</p>","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"32 1","pages":"38-45"},"PeriodicalIF":0.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Incidence and Risk Factors for Orthopedic Device-Related Pressure Injuries: A Systematic Review and Meta-Analysis.\",\"authors\":\"Yaqi Guan, Lidan Zheng, Yueying Zhu\",\"doi\":\"10.1097/JTN.0000000000000831\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>As orthopedic trauma increases, the resultant use of orthopedic devices and associated pressure injuries has increased.</p><p><strong>Objective: </strong>This study aims to systematically evaluate the incidence and risk factors for orthopedic device-related pressure injuries.</p><p><strong>Methods: </strong>A systematic review and meta-analysis was conducted by searching PubMed, Embase, Cochrane Library, Web of Science, ClNAHL, China National Knowledge Infrastructure, Wanfang Database, and Chinese BioMedical Literature Database from their inception until November 30, 2023. The population included adult orthopedic surgery patients aged 18 and older. Studies included case-control, cohort, or cross-sectional designs reporting risk factors, incidence, or predictors of orthopedic device-related pressure injuries published in Chinese or English. Exclusion criteria included unavailable full text, duplicate publications, reviews, animal studies, and conference abstracts. Two researchers independently screened the literature, extracted the data, and assessed the quality of the literature.</p><p><strong>Results: </strong>A total of eight papers involving 3,783 patients were included. Meta-analysis showed that the incidence of orthopedic device-related pressure injuries was 12.0%. Significant risk factors included duration of device wear [OR 1.197, 95% Cl (1.025, 1.369), p = .016] and the length of stay [OR 1.144, 95% CI (1.096, 1.199), p < .001].</p><p><strong>Conclusion: </strong>The duration of device wear and length of stay are key factors contributing to orthopedic device-related pressure injuries. 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引用次数: 0
摘要
背景：随着骨科创伤的增加，骨科器械的使用和相关的压力损伤也增加了。目的：本研究旨在系统评价骨科器械相关压力损伤的发生率及危险因素。方法：检索PubMed、Embase、Cochrane Library、Web of Science、ClNAHL、中国国家知识基础设施、万方数据库、中国生物医学文献数据库自建库至2023年11月30日的文献资料，进行系统评价和meta分析。人群包括18岁及以上的成人骨科手术患者。研究包括病例对照、队列或横断面设计，报告骨科器械相关压力损伤的危险因素、发生率或预测因素，并以中文或英文发表。排除标准包括不可用的全文、重复的出版物、综述、动物研究和会议摘要。两位研究者独立筛选文献，提取数据，并评估文献的质量。结果：共纳入8篇论文，涉及3783例患者。meta分析显示，骨科器械相关压力损伤的发生率为12.0%。显著危险因素包括器械磨损时间[OR 1.197, 95% Cl (1.025, 1.369), p = 0.016]和停留时间[OR 1.144, 95% CI (1.096, 1.199), p]。结论：器械磨损时间和停留时间是导致骨科器械相关压力损伤的关键因素。临床医生应积极监测和管理这些因素，以减少这些伤害的风险。
Incidence and Risk Factors for Orthopedic Device-Related Pressure Injuries: A Systematic Review and Meta-Analysis.
Background: As orthopedic trauma increases, the resultant use of orthopedic devices and associated pressure injuries has increased.
Objective: This study aims to systematically evaluate the incidence and risk factors for orthopedic device-related pressure injuries.
Methods: A systematic review and meta-analysis was conducted by searching PubMed, Embase, Cochrane Library, Web of Science, ClNAHL, China National Knowledge Infrastructure, Wanfang Database, and Chinese BioMedical Literature Database from their inception until November 30, 2023. The population included adult orthopedic surgery patients aged 18 and older. Studies included case-control, cohort, or cross-sectional designs reporting risk factors, incidence, or predictors of orthopedic device-related pressure injuries published in Chinese or English. Exclusion criteria included unavailable full text, duplicate publications, reviews, animal studies, and conference abstracts. Two researchers independently screened the literature, extracted the data, and assessed the quality of the literature.
Results: A total of eight papers involving 3,783 patients were included. Meta-analysis showed that the incidence of orthopedic device-related pressure injuries was 12.0%. Significant risk factors included duration of device wear [OR 1.197, 95% Cl (1.025, 1.369), p = .016] and the length of stay [OR 1.144, 95% CI (1.096, 1.199), p < .001].
Conclusion: The duration of device wear and length of stay are key factors contributing to orthopedic device-related pressure injuries. Clinicians should actively monitor and manage these factors to reduce the risk of these injuries.
期刊介绍：
Journal of Trauma Nursing (JTN) is the official journal of the Society of Trauma Nurses.
The Society of Trauma Nurses believes that trauma is a disease impacting patients through the continuum of care. The mission of STN is to ensure optimal trauma care through education, collaboration, leadership and membership engagement. As the official publication of the Society of Trauma Nurses, the Journal of Trauma Nursing supports the STN’s strategic goals of effective communication, education and patient advocacy with original, peer-reviewed, research and evidence-based articles and information that reflect the highest standard of collaborative care for trauma patients.
The Journal of Trauma Nursing, through a commitment to editorial excellence, implements STN’s vision to improve practice and patient outcomes and to become the premiere global nursing organization across the trauma continuum.
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