A Meta-Analysis of the Influencing Factors for Tracheostomy after Cervical Spinal Cord Injury
المؤلفون المشاركون
Li, Pei
Wang, Yan
Teng, Haijun
Fan, Dehong
Guo, Zhiliang
Lu, Haijiang
Xie, Dong
Zhang, Dahai
Jiang, Yongtian
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-07-12
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Background.
Traumatic cervical spinal cord injury (CSCI) is a common disease that has high complication, disability, and mortality rates and a poor prognosis.
Tracheostomy is an important supportive therapy for patients with CSCI.
However, a consensus on the predictive factors for tracheostomy after CSCI has not been reached.
Objective.
This meta-analysis study assessed the influencing factors for tracheostomy after CSCI.
Methods.
We searched for relevant studies on the influencing factors for tracheostomy after CSCI.
The extracted data were analyzed using RevMan 5.3 software.
We calculated the odds ratio (OR) or mean difference (MD) and 95% confidence intervals (CIs).
Results.
Sixteen eligible studies containing 9697 patients with CSCI were selected.
The pooled OR (MD) and 95% CI of the influencing factors were as follows: age (mean ± SD): -0.98 (-4.00 to 2.03), advanced age: 1.93 (0.80 to 4.63), sex (male): 1.29 (1.12 to 1.49), American Spinal Injury Association Impairment Scale (AIS) A grade: 7.79 (5.28 to 11.50), AIS B grade: 1.15 (1.13 to 2.02), AIS C grade: 0.28 (0.20 to 0.41), AIS D grade: 0.04 (0.02 to 0.09), neurological level of injury (upper CSCI): 2.36 (1.51 to 3.68), injury severity score (ISS): 8.97 (8.11 to 9.82), Glasgow Coma Scale (GCS) score ≤8: 6.03 (2.19 to 16.61), thoracic injury: 1.78 (1.55 to 2.04), brain injury: 0.96 (0.55 to 1.69), respiratory complications: 5.97 (4.03 to 8.86), smoking history: 1.45 (0.99 to 2.13), traffic accident injury: 1.27 (0.92 to 1.74), and fall injury: 0.72 (0.52 to 1.01).
Conclusions.
The current evidence shows that male sex, AIS A grade, AIS B grade, neurological level of injury (upper CSCI), high ISS, GCS≤8, thoracic injury, and respiratory complications are risk factors for tracheostomy after CSCI, and AIS C grade and AIS D grade are protective factors.
This study will allow us to use these factors for tracheostomy decisions and ultimately optimize airway management in patients with CSCI.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wang, Yan& Guo, Zhiliang& Fan, Dehong& Lu, Haijiang& Xie, Dong& Zhang, Dahai…[et al.]. 2018. A Meta-Analysis of the Influencing Factors for Tracheostomy after Cervical Spinal Cord Injury. BioMed Research International،Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1127613
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wang, Yan…[et al.]. A Meta-Analysis of the Influencing Factors for Tracheostomy after Cervical Spinal Cord Injury. BioMed Research International No. 2018 (2018), pp.1-10.
https://search.emarefa.net/detail/BIM-1127613
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wang, Yan& Guo, Zhiliang& Fan, Dehong& Lu, Haijiang& Xie, Dong& Zhang, Dahai…[et al.]. A Meta-Analysis of the Influencing Factors for Tracheostomy after Cervical Spinal Cord Injury. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1127613
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1127613
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر