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帕金森病与人工关节置换术后不同类型伤口感染的发生率:Meta 分析。

Prevalence of different types of wound infection in subjects with Parkinson's disease and total joint arthroplasty: A meta-Analysis.

机构信息

Department of Geriatric Medicine, Wenzhou Central Hospital, Zhejiang, China.

Department of Wound Medicine, the Second Affiliated Hospital of Wenzhou Medical University, Zhejiang, China.

出版信息

Int Wound J. 2023 Sep;20(7):2780-2787. doi: 10.1111/iwj.14154. Epub 2023 Mar 16.

Abstract

A meta-analysis study to assess the influence of Parkinson's disease (PD) on different types of wound infection (WI) in total joint arthroplasty (TJA) patients. A comprehensive literature examination till January 2023 was implemented and 1976 linked studies were appraised. The picked studies contained 76 661 subjects with TJA in the picked studies' baseline, 19 188 of them were PD, and 57 473 were non-PD. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were used to calculate the consequence of PD on different types of WI in TJA patients by the dichotomous and continuous styles and a fixed or random model. PD had a significantly higher postoperative surgical site WI (OR, 1.76; 95% CI, 1.15-2.67, P = .009), superficial WI (OR, 3.36; 95% CI, 1.41-7.99, P = .006), and periprosthetic WI (OR, 4.89; 95% CI, 2.13-11.22, P < .001) compared to the non-PD in TJA patients' post-surgery wounds. PD had a significantly higher postoperative surgical site WI, superficial WI, and periprosthetic WI compared to the non-PD in TJA patients' post-surgery wounds. Though precautions should be taken when commerce with the consequences since some of the picked studies for this meta-analysis was with low sample sizes.

摘要

一项荟萃分析研究评估帕金森病(PD)对全关节置换术(TJA)患者不同类型伤口感染(WI)的影响。我们进行了全面的文献检索,检索时间截至 2023 年 1 月,评估了 1976 项相关研究。入选研究包含了 76661 例 TJA 患者的基线数据,其中 19188 例为 PD 患者,57473 例为非 PD 患者。采用二项式和连续性风格以及固定或随机模型,使用比值比(OR)及其 95%置信区间(CI)来计算 PD 对 TJA 患者不同类型 WI 的影响。PD 患者术后手术部位 WI(OR,1.76;95%CI,1.15-2.67,P=0.009)、浅表 WI(OR,3.36;95%CI,1.41-7.99,P=0.006)和假体周围 WI(OR,4.89;95%CI,2.13-11.22,P<0.001)的发生率明显高于非 PD 患者。与非 PD 患者相比,PD 患者 TJA 术后伤口的手术部位 WI、浅表 WI 和假体周围 WI 发生率更高。尽管应该谨慎对待这些结果,因为本次荟萃分析的一些入选研究样本量较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/704d/10410355/9fe4475510cf/IWJ-20-2780-g004.jpg

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