Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, China.
China State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Medicine (Baltimore). 2024 Jan 19;103(3):e35150. doi: 10.1097/MD.0000000000035150.
To explore the role of gender in the incidence of chronic thromboembolic pulmonary hypertension after acute pulmonary embolism.
Two researchers search the PubMed Database, Embase Database and Cochrane Library Database from their establishment to October 2022, using Endnote software for document management and RevMan5.3 software for the meta-analysis of the included literature. A total of 11 studies are selected, including 5788 acute pulmonary embolism events and 391 patients (179 males and 212 females) with chronic thromboembolic pulmonary hypertension (CTEPH) under the stated conditions. The results show that there is no statistically significant difference in the incidence of CTEPH between males and females after PE (P = .28), with combined OR of 0.89 and 95% CI 0.72-1.10.
Gender is found to be absent as a factor in the incidence of CTEPH after acute pulmonary embolism. This may indicate that gender is not a risk factor for CTEPH and that female patients are not necessarily more likely to have a higher incidence than male patients. As such, accurate judgments should be made on the possible complications of all patients after acute pulmonary embolism, which will be conducive to early detection and intervention in the treatment of CTEPH.
探讨性别在急性肺栓塞后慢性血栓栓塞性肺动脉高压(CTEPH)发病中的作用。
两名研究人员从建库起至 2022 年 10 月,检索 PubMed 数据库、Embase 数据库和 Cochrane 图书馆数据库,采用 Endnote 软件进行文献管理,RevMan5.3 软件进行纳入文献的 meta 分析。共纳入 11 项研究,包含 5788 例急性肺栓塞事件和 391 例(男 179 例,女 212 例)符合条件的 CTEPH 患者。结果表明,PE 后 CTEPH 的发生率在男性和女性之间无统计学差异(P = .28),合并 OR 为 0.89,95%CI 为 0.72-1.10。
性别不是急性肺栓塞后 CTEPH 发病的影响因素,这可能提示性别不是 CTEPH 的危险因素,女性患者不一定比男性患者更容易发生 CTEPH。因此,对于急性肺栓塞后所有患者的可能并发症应做出准确判断,有利于 CTEPH 的治疗中早期发现和干预。