[1]李雄波,吴红霞,张西洋,等.COPD患者再入院影响因素的Meta分析[J].医学信息,2023,36(13):31-37.[doi:10.3969/j.issn.1006-1959.2023.13.006]
 LI Xiong-bo,WU Hong-xia,ZHANG Xi-yang,et al.Meta-analysis of Influencing Factors of Readmission in COPD Patients[J].Journal of Medical Information,2023,36(13):31-37.[doi:10.3969/j.issn.1006-1959.2023.13.006]
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COPD患者再入院影响因素的Meta分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年13期
页码:
31-37
栏目:
医学数据科学
出版日期:
2023-07-01

文章信息/Info

Title:
Meta-analysis of Influencing Factors of Readmission in COPD Patients
文章编号:
1006-1959(2023)13-0031-07
作者:
李雄波吴红霞张西洋
(1.山西中医药大学护理学院,山西 太原 030000;2.山西省人民医院呼吸与危重症医学科,山西 太原 030000)
Author(s):
LI Xiong-boWU Hong-xiaZHANG Xi-yanget al.
(1.School of Nursing,Shanxi University of Chinese Medicine,Taiyuan 030000,Shanxi,China;2.Department of Respiratory and Critical Care Medicine,Shanxi Provincial People’s Hospital,Taiyuan 030000,Shanxi,China)
关键词:
慢性阻塞性肺疾病再入院危险因素
Keywords:
Chronic obstructive pulmonary diseaseReadmissionRisk factors
分类号:
R563
DOI:
10.3969/j.issn.1006-1959.2023.13.006
文献标志码:
A
摘要:
目的 了解慢性阻塞性肺疾病患者再入院的相关因素。方法 计算机检索CNKI、万方数据库、维普数据库、SinoMed、PubMed、Cochrane Library、Web of Science、EMbase,检索时限从建库至2022年7月。采用RevMan 5.3软件进行Meta分析。结果 共纳入22篇文献,纳入患者包括279 602例,包括47项相关的危险因素。有统计学意义的风险因素包括吸烟[OR=1.41,95%CI(1.17~1.70)]、缺乏运动[OR=2.11,95%CI(1.37~3.24)]、既往有慢阻肺急性加重住院史[OR=2.49,95%CI(2.33~2.69)]、住院时间延长[OR=1.08,95%CI(1.03~1.12)]、FEV1%Pred<50%[OR=2.04,95%CI(1.36~3.06)]、血小板分布宽度增加[OR=3.51,95%CI(2.40~5.13)]、红细胞分布宽度增加[OR=2.25,95%CI(1.48~3.42)]、嗜酸性粒细胞≥200/μl[OR=3.47,95%CI(1.94~6.18)]、查尔森合并症指数增高[OR=1.43,95%CI(1.19~1.72)]、合并糖尿病[OR=9.19,95%CI(2.98~28.32)]。结论 吸烟、缺乏运动、既往有慢阻肺急性加重住院史、住院时间延长、FEV1%Pred<50%、血小板分布宽度增加、红细胞分布宽度增加、嗜酸性粒细胞≥200/μl、查尔森合并症指数增高、合并糖尿病是慢性阻塞性肺疾病患者再入院的相关危险因素。
Abstract:
Objective To understand the related factors of readmission in patients with chronic obstructive pulmonary disease.Methods CNKI, Wanfang database, VIP database, SinoMed, PubMed, Cochrane Library, Web of Science, EMbase were searched from inception to July 2022. Meta-analysis was performed using RevMan 5.3 software.Results A total of 22 articles were included, including 279 602 patients, with 47 related risk factors. The statistically significant risk factors included smoking [OR=1.41,95%CI(1.17-1.70)], lack of exercise [OR=2.11,95%CI(1.37-3.24)], previous hospitalization history of acute exacerbation of COPD [OR=2.49,95%CI(2.33-2.69)], prolonged hospitalization time [OR=1.08,95%CI(1.03-1.12)], FEV1%Pred<50%[OR=2.04,95%CI(1.36-3.06)], increased platelet distribution width [OR=3.51,95%CI(2.40-5.13)], increased red blood cell distribution width [OR=2.25,95%CI(1.48-3.42)], eosinophils≥200/μl[OR=3.47,95%CI(1.94-6.18)], increased Charlson comorbidity index [OR=1.43,95%CI(1.19-1.72)] and diabetes [OR=9.19,95%CI(2.98-28.32)].Conclusion Smoking, lack of exercise, previous hospitalization history of acute exacerbation of COPD, prolonged hospitalization time, FEV1%Pred<50%, increased platelet distribution width, increased red blood cell distribution width, eosinophil≥200/μl, increased Charlson comorbidity index and diabetes mellitus are risk factors for readmission in patients with chronic obstructive pulmonary disease.

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更新日期/Last Update: 1900-01-01