结直肠癌病人术后非计划性再入院危险因素的Meta分析

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AbstractObjective:Tosummarizetheriskfactors forunplannedreadmissionofcolorectalcancerpatientsintheshorttermafter surgery.Methods:Acomprehensivesearchof teliteratureonriskfactorsforunplanedreadmisioaftersurgeryforcolorectalcancer was conductedinPubMed,WebofScience,EMbase,Cochrane Library,CINAHL,SinoMed,CNKI,WanFang DataandVIP.The searchtimeframeasfromthconstructioofthelibrarytoAugust3o24Results:Atotalof14articleswereiclued.358patts were involved,of which 42874 (12.89% )had readmissions.The Meta-analysis showed that comorbidities (OR=2.13, 95% CI 1.88- 2 .43,P<0.000 01 ),postoperative complications (OR =6.86,95% CI 2.13-22.15, P<0.001 ),stoma (OR=1.44,95%CI1.26-1.64, P< 0.000 01),hospital stay >7 d (OR=1.41,95%C1 1.17-1.33, P=0.000i 3) and incision infection (OR=3.22,95%CI 1.93-5.36,P<0.000 01) wererisk factorsforunplannedreadmissionincolorectalcancerpatints intheshort-termpostoperativeperdConclusion:Existing evidenceshowsthatuplaedpostoperativeradmissonofolorealcancerpatietsisloselyrelatedtoomobiities,ostopaie complications,stoma,hospitalization time >′ 7 d and incision infection.Clinical staff can take appropriate interventions according to the above risk factors to reduce the risk of postoperative readmission in colorectal cancer patients.

Keywordscolorectal cancer;unplanned readmissions; risk factor; Meta-analysis; evidence-based nursing摘要目的:总结结直肠癌病人术后短期内非计划性再入院的危险因素。(剩余11442字)

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