吸烟对肩关节置换术结果的影响:术后并发症的荟萃分析。

IF 1.5 Q3 ORTHOPEDICS
Rafael Llombart-Blanco, Gonzalo Mariscal, Ibrahim Khalil, Carlos Barrios, Rafael Llombart-Ais
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引用次数: 0

摘要

虽然手术技术和术后管理的进步改善了手术结果,但吸烟对肩关节置换术结果的影响仍然存在争议。本研究旨在评估吸烟对肩关节置换术结果的影响,并为围绕吸烟对医疗和手术并发症影响的争议提供更清晰的视角。方法:系统检索四个图书馆数据库。普洛斯彼罗(CRD42023444819)。使用非随机研究方法学指数评估研究的质量。对二分类变量和连续变量计算95%置信区间(CI)的优势比(OR)和平均差异(MD)。本研究使用PICOS策略对接受肩关节置换术的患者进行研究,吸烟作为干预,不吸烟作为比较,术后并发症作为结果。结果:荟萃分析包括8项研究,227,329例患者。吸烟组再住院(OR: 1.11, 95% CI[1.05-1.17])、翻修(OR: 2.32, 95% CI[1.28-4.23])、假体周围骨折(OR: 1.38, 95% CI[1.24-1.53])和手术部位感染(OR: 2.09, 95% CI[1.77-2.47])的风险较高,但在伤口问题或血栓栓塞事件方面无显著差异。吸烟组脓毒症发生风险较高(OR: 1.31, 95% CI[1.07-1.60])。两组在肾脏并发症、尿路感染、肺部并发症或心肌梗死方面无显著差异。结论:吸烟是一个可改变的危险因素,应加以解决,以改善预后,降低与肩关节置换术患者并发症和关节置换术相关的费用。意义:这些发现强调了促进无烟生活方式和改善手术结果的必要性。术前干预应包括教育、咨询和支持,以促进更好的肩关节置换术效果和长期健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of smoking on shoulder arthroplasty outcomes: A meta-analysis of postoperative complications.

Introduction: Although advancements in surgical techniques and postoperative management have improved outcomes, the impact of smoking on shoulder arthroplasty outcomes remains controversial. This study aimed to evaluate the influence of smoking on shoulder arthroplasty outcomes and provide a clearer perspective on the controversy surrounding the impact of smoking on medical and surgical complications.

Methods: A systematic search was conducted using four Library databases. PROSPERO (CRD42023444819). The quality of the studies was assessed using the Methodological Index for Non-randomized Studies. Odds ratios (OR) and mean differences (MD) with 95% confidence intervals (CI) were calculated for the dichotomous and continuous variables. This study used the PICOS strategy to identify studies with patients undergoing shoulder arthroplasty surgery, with smoking as the intervention, non-smoking as the comparison, and postoperative complications as the outcome.

Results: The meta-analysis included eight studies with 227,329 patients. The smoking group had a higher risk of readmission (OR: 1.11, 95% CI [1.05-1.17]), revision (OR: 2.32, 95% CI [1.28-4.23]), periprosthetic fracture (OR: 1.38, 95% CI [1.24-1.53]), and surgical site infection (OR: 2.09, 95% CI [1.77-2.47]), but no significant differences were found in wound problems or thromboembolic events. The smoking group had a higher risk of sepsis (OR: 1.31, 95% CI [1.07-1.60]). There were no significant differences in renal complications, urinary tract infections, pulmonary complications, or myocardial infarctions between the two groups.

Conclusion: Smoking is a modifiable risk factor that should be addressed to improve outcomes and reduce the costs associated with complications and joint replacement in patients undergoing shoulder arthroplasty.

Implications: These findings emphasize the need to promote a tobacco-free lifestyle and improve surgical outcomes. Preoperative interventions should include education, counseling, and support, fostering better shoulder arthroplasty results and long-term well-being.

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来源期刊
Shoulder and Elbow
Shoulder and Elbow Medicine-Rehabilitation
CiteScore
2.80
自引率
0.00%
发文量
91
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