Surgical site wound infection, and other postoperative problems after coronary artery bypass grafting in subjects with chronic obstructive pulmonary disease: A meta‐analysis.
We performed a meta‐analysis to evaluate the effect of chronic obstructive pulmonary disease on surgical site wound infection, and other postoperative problems after coronary artery bypass grafting. A systematic literature search up to April 2022 was performed and 37 444 subjects with coronary arter...
| Published in: | International Wound Journal Vol. 20; no. 2; pp. 302 - 313 |
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| Main Authors: | , , , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Feb2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161586996&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 161586996 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17424801 1725 jtl: International Wound Journal issn: 17424801 maglogo: Y pubinfo: dt: Feb2023 vid: 20 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 161586996 157851132 161586996 161586996 10.1111/iwj.13877 161586996 ppf: 302 ppct: 11 formats: tig: atl: Surgical site wound infection, and other postoperative problems after coronary artery bypass grafting in subjects with chronic obstructive pulmonary disease: A meta‐analysis. aug: au: Gao, Jinglin Wang, Huijuan Liu, Xiuhua Song, Xinghui Zhong, Xiaoning affil: Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, People's Republic of China sug: subj: Pulmonary Disease, Chronic Obstructive Complications Coronary Artery Bypass Adverse Effects Postoperative Complications Risk Factors Surgical Wound Infection Risk Factors Risk Assessment Human Meta Analysis Descriptive Statistics Data Analysis Software Confidence Intervals Odds Ratio PubMed Embase Cochrane Library ab: We performed a meta‐analysis to evaluate the effect of chronic obstructive pulmonary disease on surgical site wound infection, and other postoperative problems after coronary artery bypass grafting. A systematic literature search up to April 2022 was performed and 37 444 subjects with coronary artery bypass grafting at the baseline of the studies; 4320 of them were with the chronic obstructive pulmonary disease, and 33 124 were without chronic obstructive pulmonary disease. Odds ratio (OR), and mean difference (MD) with 95% confidence intervals (CIs) were calculated to assess the effect of chronic obstructive pulmonary disease on surgical site wound infection, and other postoperative problems after coronary artery bypass grafting using the dichotomous, and contentious methods with a random or fixed‐effect model. The chronic obstructive pulmonary disease subjects had a significantly higher surgical site wound infection (OR, 1.27; 95% CI, 1.01‐1.60, P = 0.04), respiratory failure (OR, 1.84; 95% CI, 1.55‐2.18, P < 0.001), mortality (OR, 1.61; 95% CI, 1.37‐1.89, P < 0.001), pneumonia (OR, 2.30; 95% CI, 1.97‐2.68, P < 0.001), pleural effusion (OR, 1.78; 95% CI, 1.12‐2.83, P = 0.02), stroke (OR, 1.99; 95% CI, 1.17‐3.36, P = 0.01), and length of intensive care unit stay (MD, 0.73; 95% CI, 0.19‐1.26, P = 0.008) after coronary artery bypass grafting compared with subjects without chronic obstructive pulmonary disease. However, chronic obstructive pulmonary disease subjects did not show any significant difference in length of hospital stay (MD, 0.83; 95% CI, −0.01 to 1.67, P = 0.05), and pneumothorax (OR, 1.59; 95% CI, 0.98‐2.59, P = 0.06) after coronary artery bypass grafting compared with subjects without chronic obstructive pulmonary disease. The chronic obstructive pulmonary disease subjects had a significantly higher surgical site wound infection, respiratory failure, mortality, pneumonia, pleural effusion, stroke, and length of intensive care unit stay, and no significant difference in length of hospital stay, and pneumothorax after coronary artery bypass grafting compared with subjects without chronic obstructive pulmonary disease. The analysis of outcomes should be with caution because of the low sample size of 1 out of 11 studies in the meta‐analysis and a low number of studies in certain comparisons. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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