慢性阻塞性肺疾病病人31 d内再入院影响因素的Meta分析

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Influencing factors of readmission within 31 day in patients with COPD：a Meta-analysis

WU Hao，LIU Surong，CHEN Meizhu，HUANG Li，DONG Sining，ZHANG Li

School of Nursing，Chengdu University of Chinese Medicine，Sichuan 610075 China

Corresponding AuthorLIU Surong，E-mail：Liusurong2004@163.com

AbstractObjective：To systematically evaluate the influencing factors of hospital readmissions in patients with chronic obstructive pulmonary disease（COPD），and to provide evidence support for reducing the incidence of COPD within 31 d readmissions.Methods：The influencing factors of COPD patients within 31 d readmission studies were retrieved from CNKI，VIP，WanFang Database，SinoMed，PubMed，Web of Science，EMbase，the Cochrane Library.The retrieval time was from the inception to March 2023.Finally Stata15.0 software was used for Meta-analysis after two researchers independently screened articles，extracted data and quality evaluation.Results：A total of 28 studies were included，including 23 factors.The Meta-analysis results showed that diabetes，coronary heart disease，male，heart failure，depression，female，cancer，medicaid，length of hospital stay，emergency admission，emergency admission once in the past 1 year，alcoholism，mental illness，and hospitalization for 1-2 weeks were the influencing factors of readmission.Conclusion：Current evidence shows that the readmission of patients with COPD within 31 days is affected by many factors，and high-risk groups should be identified according to the risk factors，and accurate prevention should be carried out on the basis of comprehensive assessment to reduce the occurrence of hospital readmission.

Keywordschronic obstructive pulmonary disease;31 days;readmission;influencing factors;Meta-analysis;evidence-based nursing

摘要目的：系统评价慢性阻塞性肺疾病（COPD）病人31 d内再入院影响因素，为降低COPD病人再入院率提供证据支持。（剩余13700字）