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雷帕霉素靶蛋白抑制剂治疗心脏移植受者的伤口并发症发生率:一项荟萃分析。

Wound complications frequency in heart transplant recipients on mammalian target of rapamycin inhibitors: A meta-analysis.

机构信息

Department of Thoracic Surgery, First Affiliated Hospital of Gannan Medical University, Ganzhou, China.

Ganzhou Key Lab of Brain Injury & Brain Protection, Ganzhou, China.

出版信息

Int Wound J. 2023 Nov;20(9):3491-3497. doi: 10.1111/iwj.14221. Epub 2023 May 10.

Abstract

A meta-analysis investigation was executed to measurethe wound complications (WCs) frequency in heart transplant (HT) recipients on mammalian target of rapamycin inhibitors (MTRIs). A comprehensive literature investigation till February 2023 was applied and 978 interrelated investigations were reviewed. The 10 chosen investigations enclosed 2173 individuals with HT were in the chosen investigations' starting point, 1164 of them were utilising MTRIs, and 1009 were utilising control. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were utilised to compute the value of the WCs frequency in HT recipients on MTRIs by the dichotomous approaches and a fixed or random model. MTRIs had significantly higher WCs (OR, 1.53; 95% CI, 1.19-1.98, P = .001) compared with those with control in individuals with HT. MTRIs had significantly higher WCs compared with those with control in individuals with HT. However, care must be exercised when dealing with its values because of the low number of the nominated investigations and the low sample size of some of the nominated investigations for the meta-analysis.

摘要

一项荟萃分析调查旨在测量接受雷帕霉素哺乳动物靶蛋白抑制剂 (MTRIs) 的心脏移植 (HT) 受者的伤口并发症 (WC) 发生率。应用了截至 2023 年 2 月的全面文献调查,并对 978 项相关研究进行了综述。10 项选定的研究包括 2173 名 HT 患者作为研究起点,其中 1164 名患者使用 MTRIs,1009 名患者使用对照。采用二项式方法和固定或随机模型,使用比值比 (OR) 及其 95%置信区间 (CI) 计算 HT 受者使用 MTRIs 时 WC 频率的价值。与对照组相比,MTRIs 使 HT 患者的 WC 显著增加(OR,1.53;95%CI,1.19-1.98,P=0.001)。与对照组相比,MTRIs 使 HT 患者的 WC 显著增加。然而,由于指定研究的数量较少,以及一些指定用于荟萃分析的研究的样本量较小,在处理其值时必须谨慎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b3/10588318/1750999f040a/IWJ-20-3491-g001.jpg

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