Influencing factors of aspiration in neurological critically ill patients:a Meta-analysis
10.7619/jcmp.20242193
- VernacularTitle:神经重症患者误吸影响因素的Meta分析
- Author:
Yang ZHANG
1
;
Haiqing DIAO
;
Mengyue LI
;
Ting TIAN
;
Xiaoguang LIU
;
Qiang MA
;
Guangyu LU
;
Hailong YU
;
Yuping LI
Author Information
1. 扬州大学护理学院,江苏扬州,225009
- Keywords:
neurocritical care patients;
aspiration;
influencing factors;
Meta-analysis
- From:
Journal of Clinical Medicine in Practice
2025;29(1):118-124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the influencing factors of aspiration in neurological critically ill patients by Meta-analysis.Methods PubMed,Embase,Web of Science,CNKI,and Wanfang Data were searched from inception to 1 October,2023,to obtain relevant studies on influencing fac-tors of aspiration in neurological critically ill patients.The literature screening,data extraction and quality evaluation were completed by two researchers.RevMan 5.4 and Stata 13.0 software were ap-plied for pooled Meta-analysisand assessed publication bias,respectively.Results A total of 8 arti-cles,including 1,315 neurocritical care patients,were included in this study.Nine influencing factors related to aspiration were extracted for Meta-analysis.The Meta-analysis results showed that the three influencing factors that caused aspiration in neurocritical care patients were stroke history(OR=5.03,95％CI,2.71 to 9.32,P＜0.000 01),National Institutes of Health Stroke Scale(NIHSS)score＞10(OR=3.35,95％CI,1.75 to 6.42,P=0.000 3),and gastric residual volume＞150mL(OR=7.13,95％CI,2.55 to 9.96,P=0.001).Conclusion This study provides a scientific basis for clinical healthcare professionals to early identify high-risk patients for aspiration,take targeted inter-vention measures,and prevent the occurrence of aspiration.
