皮隆骨折患者手术部位感染的危险因素:系统回顾和荟萃分析。

IF 1.3 4区 医学 Q2 Medicine
Pei Zhen Li, Jia Wei He, Xian Sheng Xia
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引用次数: 0

摘要

背景:皮隆是一种严重的踝关节骨折,手术部位感染是一个重要的术后并发症,往往导致灾难性的后果。了解其风险因素对于优化患者预后和改善临床管理策略至关重要。方法:我们检索PubMed、Embase、Web of Science和Cochrane图书馆,检索2000年1月至2025年3月期间与皮隆骨折患者手术部位感染相关的前瞻性和回顾性研究。在对符合条件的研究进行筛选和质量评估后,提取数据并利用Stata 16.0和RevMan 5.3软件进行meta分析。结果:10项研究共纳入4120例患者。荟萃分析显示手术部位感染的总发生率为17% (95% CI: 12% - 23%)。年龄、糖尿病、高血压、白蛋白、开放性骨折、AO/OTA骨折类型(≥C)、术前住院时间和手术时间是导致Pilon骨折患者手术部位感染的重要危险因素。结论:本研究确定了与皮隆骨折患者手术部位感染相关的几个重要危险因素。外科医生应密切监测高危人群,优化围手术期管理,实施有效的预防措施,防止不必要的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk factors for surgical site infections in patients with pilon fractures: A systematic review and meta-analysis.

Background: Pilon is a severe ankle fracture, and surgical site infections is an important postoperative complication that often leads to catastrophic consequences. Understanding its risk factors is crucial for optimizing patient outcomes and improving clinical management strategies.

Methods: We searched PubMed, Embase, Web of Science, and the Cochrane Library for prospective and retrospective studies related to surgical site infections in patients with Pilon fractures, covering the period from January 2000 to March 2025. Following the screening and quality assessment of eligible studies, data were extracted and a meta-analysis was conducted utilizing Stata 16.0 and RevMan 5.3 software.

Result: Ten studies involving 4,120 patients were included in the analysis. The meta-analysis revealed that the pooled incidence of surgical site infections was 17 % (95 % CI: 12 %-23 %). Significant risk factors identified for surgical site infections in patients with Pilon fractures included age, diabetes, hypertension, albumin, open fracture, AO/OTA fracture type(≥C), preoperative hospital stay, and surgical duration.

Conclusion: This study identified several significant risk factors linked to surgical site infections in patients with Pilon fractures. Surgeons should closely monitor high-risk populations, optimize perioperative management, and implement effective preventive measures to prevent unnecessary complications.

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来源期刊
Journal of Foot & Ankle Surgery
Journal of Foot & Ankle Surgery ORTHOPEDICS-SURGERY
CiteScore
2.30
自引率
7.70%
发文量
234
审稿时长
29.8 weeks
期刊介绍: The Journal of Foot & Ankle Surgery is the leading source for original, clinically-focused articles on the surgical and medical management of the foot and ankle. Each bi-monthly, peer-reviewed issue addresses relevant topics to the profession, such as: adult reconstruction of the forefoot; adult reconstruction of the hindfoot and ankle; diabetes; medicine/rheumatology; pediatrics; research; sports medicine; trauma; and tumors.
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