中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (03): 223-226,231.doi: 10.3969/j.issn.1671-4091.2024.03.015

• 护理研究 • 上一篇    下一篇

维持性血液透析患者早期再入院影响因素的Meta分析

梁 琪    王志虎    王冰洁    刘 洋    张春梅   

  1. 301617 天津，1天津中医药大学护理学院
  • 收稿日期:2023-09-04 修回日期:2023-10-09 出版日期:2024-03-12 发布日期:2024-03-12
  • 通讯作者: 张春梅 E-mail:cmzhang_666@sina.com
  • 基金资助:
    天津市研究生科研创新项目(2022SKY239)；天津中医药大学研究生科研创新项目(YJSKC-20221033)

Risk factors for early readmission of maintenance hemodialysis patients: a meta-analysis

LIANG Qi, WANG Zhi-hu, WANG Bing-jie, LIU Yang, ZHANG Chun-mei   

  1. School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
  • Received:2023-09-04 Revised:2023-10-09 Online:2024-03-12 Published:2024-03-12
  • Contact: 301617 天津，1天津中医药大学护理学院 E-mail:cmzhang_666@sina.com

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摘要： 目的 系统评价维持性血液透析患者再入院的影响因素，为早期识别并提供针对性干预提供参考。 方法 计算机检索PubMed、Embase、Web of Science、Cochrane Library、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中关于维持性血液透析患者再入院的影响因素相关研究，检索时间为建库至2023年2月，采用RevMan 5.3软件进行Meta分析。 结果 共纳入13篇文献，774 826例患者。Meta分析结果显示：女性(OR=1.08，95% CI：1.05～1.11,P＜0.001)、吸烟(OR=1.56，95% CI：1.09～2.23,P=0.010)、饮酒(OR=1.24，95% CI：1.04～1.48，=0.020)、药物误用(OR=1.08，95% CI：1.05～1.11,P＜0.001)、脑血管疾病(OR=1.17，95% CI：1.08～1.26,P＜0.001)、冠状动脉疾病(OR=1.27，95% CI：1.08～1.49,P＜0.001)、心力衰竭(OR=1.2895% CI：1.19～1.37,P＜0.001)、糖尿病(OR=1.13，95% CI：1.06～1.20,P＜0.001)、慢性阻塞性肺疾病(OR=1.20，95% CI：1.12～1.28,P＜0.001)、血红蛋白(MD=-9.29，95% CI：-14.06～-4.53,P＜0.001)、白蛋白(MD=-3.51，95% CI：-4.44～-2.58,P＜0.001)、中心静脉导管(OR=1.25，95% CI：1.15～1.37,P＜0.001)为维持性血液透析患者早期再入院的危险因素。 结论 临床医护人员可依据相关危险因素识别MHD患者早期再入院高危人群并采取干预措施，以提高其医疗质量，降低医疗成本，优化医疗资源。

关键词: 维持性血液透析, 再入院, 影响因素

Abstract: Objective  To systematically evaluate the risk factors for early readmission of maintenance hemodialysis (MHD) patients, and to provide a reference for early identification and intervention.  Methods  A systematic search for risk factors for early readmission in MHD patients in the databases of PubMed, Embase, Web of Science, Cochrane Library, CNKI, WanFang, VIP and CBM from establishment of the databases to February 2023 was carried out. Meta-analysis was performed by Revman5.3 software.  Results  A total of 13 articles with 774,826 patients were included. Meta-analysis results showed that female (OR=1.08, 95% CI: 1.05～1.11, P＜0.001), smoking (OR=1.56, 95% CI: 1.09～2.23, P=0.010), alcohol consumption (OR=1.24, 95% CI: 1.04～1.48, P=0.020), medication misuse (OR=1.08, 95% CI: 1.05～1.11, P＜0.001), cerebrovascular disease (OR=1.17, 95% CI: 1.08～1.26, P＜0.001), coronary artery disease (OR=1.27, 95% CI: 1.08～1.49,＜0.001), heart failure (OR=1.28, 95% CI: 1.19～1.37, P＜0.001), diabetes (OR=1.13, 95% CI: 1.06～1.20, P＜0.001), chronic obstructive pulmonary disease (OR=1.20, 95% CI: 1.12～1.28, P＜0.001), Hb (MD=-9.29, 95% CI: -14.06～-4.53, P＜0.001), Alb (MD=-3.51, 95% CI: -4.44～-2.58, P＜0.001) and central venous catheterization (OR=1.25, 95% CI: 1.15～1.37, P＜0.001) were the risk factors for early readmission in MHD patients.   Conclusion  Clinical staff can identify the MHD patients with the risk of early readmission based on the above factors and take interventions to improve their quality of care, reduce healthcare costs and optimize healthcare resources.

Key words: Maintenance hemodialysis, Readmission, Risk factor

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