Meta-analysis of risk factors for postoperative pulmonary infection in elderly patients with hip fractures
10.3760/cma.j.cn115682-20210213-00699
- VernacularTitle:老年髋部骨折患者术后发生肺部感染风险因素的Meta分析
- Author:
Xiaofeng LI
1
;
Yan FEI
;
Ping GUAN
;
Xiaoli YU
;
Jinning WANG
;
Na XU
;
Xiaoping ZHU
Author Information
1. 同济大学附属第十人民医院骨科，上海 200072
- Keywords:
Hip fractures;
Aged;
Pulmonary infection;
Risk factors;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2021;27(34):4674-4680
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate and analyze the risk factors for postoperative pulmonary infection in elderly patients with hip fractures.Methods:Two researchers independently searched PubMed, Cochrarne Library, Web of Science, Embase, CINAHL, Chinese Biomedical Literature Database, China National Knowledge Internet (CNKI), VIP, Wanfang database on the cohort or case-control studies on risk factors for postoperative lung infection in elderly patients with hip fracture hip fractures. The search time limit was from the establishment of the databases to June 15, 2020. After literature screening, literature quality evaluation and data extraction, Meta-analysis was performed using RevMan 5.4 software.Results:A total of 17 literatures were included, including 11 Chinese literatures and 6 English literatures. Meta-analysis results showed that male, age of 75 years or older, surgery waiting time greater than 48 hours, surgery time greater than 2 hours, general anesthesia, smoking (history), combination with stroke, anemia, combination with chronic obstructive pulmonary disease (COPD), combination with respiratory disease, hypoproteinemia, American Society of Anesthesiologists gradeⅢ orⅣ, mechanical ventilation, serum vitamin 25 (OH) D deficiency, admission to Intensive Care Unit, combination with diabetes mellitus, the number of preoperative complications greater than 3, cognitive dysfunction and low functional status were risk factors of postoperative lung infection in elderly patients with hip fractures ( P<0.05) . Conclusions:The postoperative pulmonary infection in elderly patients with hip fractures is affected by many factors. It is suggested to establish a multidisciplinary team to timely and accurately identify risk factors of postoperative pulmonary infection and take active measures to prevent the occurrence of postoperative pulmonary infection.
