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口袋血肿与心血管植入式电子设备患者伤口感染风险的关系:综合评价。

The relationship between pocket hematoma and risk of wound infection among patients with a cardiovascular implantable electronic device: An integrative review.

机构信息

School of Nursing, Columbia University, 560 W 168th St, New York, NY 10032, USA.

School of Nursing, Columbia University, 560 W 168th St, New York, NY 10032, USA.

出版信息

Heart Lung. 2020 Jan-Feb;49(1):92-98. doi: 10.1016/j.hrtlng.2019.09.009. Epub 2019 Oct 10.

DOI:10.1016/j.hrtlng.2019.09.009
PMID:31607409
Abstract

BACKGROUND

Pocket hematoma is a common adverse event following the insertion of cardiovascular implantable electronic devices (CIEDs), but the risk of wound infections associated with a pocket hematoma is unclear.

OBJECTIVES

This integrative review aims to examine the relationship between pocket hematoma and risk of wound infection in a CIED population.

METHODS

A comprehensive literature search for articles assessing the relationship between pocket hematoma and infection in four electronic databases was conducted in October 2018.

RESULTS

After screening and full text review, 7 studies met inclusion criteria (combined sample = 8,177 patients). Most studies (6/7) reported a significant relationship between pocket hematoma and all types of infection (OR = 6.9-24.98; p < 0.05). The proportion of wound infection among all types of infections was 61.5 - 100%.

CONCLUSIONS

Pocket hematoma is a significant risk factor for all types of infection, with the most frequent type of infection being wound infection.

摘要

背景

口袋血肿是心血管植入式电子设备(CIED)置入后常见的不良事件,但口袋血肿与伤口感染风险的关系尚不清楚。

目的

本综合综述旨在探讨 CIED 人群中口袋血肿与伤口感染风险之间的关系。

方法

2018 年 10 月,对四个电子数据库中评估口袋血肿与感染之间关系的文章进行了全面的文献检索。

结果

经过筛选和全文审查,有 7 项研究符合纳入标准(合并样本=8177 例患者)。大多数研究(6/7)报告口袋血肿与所有类型的感染之间存在显著关系(OR=6.9-24.98;p<0.05)。所有类型感染中,伤口感染的比例为 61.5%-100%。

结论

口袋血肿是所有类型感染的一个显著危险因素,最常见的感染类型是伤口感染。

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