Balachandran Sulakshana, Lee Annemarie, Denehy Linda, Lin Kuan-Yin, Royse Alistair, Royse Colin, El-Ansary Doa
Physiotherapy Department, The University of Melbourne, Carlton, Victoria, Australia.
Physiotherapy Department, The University of Melbourne, Carlton, Victoria, Australia.
Ann Thorac Surg. 2016 Dec;102(6):2109-2117. doi: 10.1016/j.athoracsur.2016.05.047. Epub 2016 Aug 21.
Early detection of patients at risk of sternal complications is essential to facilitate prevention and optimize timely intervention. A systematic review and meta-analysis was conducted to identify risk factors associated with sternal complications. The review included 17 full-text studies, of which 10 were entered into meta-analyses. Female gender, diabetes mellitus, obesity, bilateral internal mammary artery grafts, reoperation for postoperative complications, and blood product requirement were reported as significant predictors of sternal infection. The compilation of these risk factors may help to screen and stratify patients at risk of impaired sternal healing and warrants further investigation.
早期发现有胸骨并发症风险的患者对于促进预防和优化及时干预至关重要。我们进行了一项系统评价和荟萃分析，以确定与胸骨并发症相关的风险因素。该评价纳入了17项全文研究，其中10项纳入了荟萃分析。女性、糖尿病、肥胖、双侧胸廓内动脉搭桥、术后并发症再次手术以及血液制品需求被报告为胸骨感染的重要预测因素。这些风险因素的汇总可能有助于筛查和分层有胸骨愈合受损风险的患者，值得进一步研究。
