December 15, 2022SHILAP Revista de lepidopterología56 citationsOpen Access

What are Risk Factors of Postoperative Pneumonia in Geriatric Individuals after Hip Fracture Surgery: A Systematic Review and Meta‐Analysis

YGYucheng GaoTangshan College YZYuan‐Wei ZhangNanjing University of Chinese Medicine LSLiu ShiXi'an Shiyou University

Structured PICO

What are the risk factors for postoperative pneumonia in geriatric patients undergoing hip fracture surgery?

Population

12,084 geriatric patients undergoing hip fracture surgery (pooled from 10 studies)

Intervention

Presence of risk factors (e.g., age, male sex, ASA ≥3, dependent functional status, smoking, COPD, diabetes, coronary heart disease, arrhythmia, cerebrovascular disease, dementia, chronic renal failure, hip arthroplasty, delayed surgery, preoperative creatinine, preoperative serum albumin)

Comparator

Absence of these risk factors

Outcome

Incidence of postoperative pneumonia (POP)hard clinical

Multiple patient-specific and surgical factors, including advanced age, male sex, comorbidities, and delayed surgery, significantly increase the risk of postoperative pneumonia in geriatric patients undergoing hip fracture surgery.

Abstract

Postoperative pneumonia (POP) is a common postoperative complication. Negative consequences associated with POP included prolonged hospital length of stay, more frequent intensive care unit (ICU) stays, and a higher rate of sepsis, readmission, and mortality. This meta-analysis aimed to assess the incidence and risk factors associated with POP after hip fracture surgery in elderly patients. PubMed, Web of Science, and Cochrane Library were searched (up to March 31, 2022). All studies on the risk factors for POP after hip fracture surgery in elderly patients, published in English, were reviewed. The qualities of the included studies were assessed using the Newcastle-Ottawa Scale. Data were pooled, and a meta-analysis was performed. Ten studies, including 12,084 geriatric patients undergoing hip fracture surgery, were included. Of these 12,084 patients, POP occurred in 809 patients. The results indicated that age (mean difference MD = 4.95, 95% confidence interval CI: 3.22-6.69), male (odds ratio OR = 1.41, 95% CI: 1.02-1.93), the American Society of Anaesthesiologists classification ≥3 (OR = 3.48, 95% CI: 1.87-6.47), dependent functional status (OR = 5.23, 95% CI: 2.18-12.54, P = 0.0002), smoking (OR = 1.33, 95% CI: 1.07-1.65), chronic obstructive pulmonary disease (OR = 3.76, 95% CI: 2.07-6.81), diabetes mellitus (OR = 1.19, 95% CI: 1.01-1.40), coronary heart disease (OR = 1.74, 95% CI: 1.23-2.46), arrhythmia (OR = 1.47, 95% CI: 1.01-2.14), cerebrovascular disease (OR = 1.88, 95% CI: 1.56-2.27), dementia (OR = 2.36, 95% CI: 1.04-5.36), chronic renal failure (OR = 1.85, 95% CI: 1.29-2.67), hip arthroplasty (OR = 1.30, 95% CI: 1.08-1.56), delayed surgery (OR = 6.40, 95% CI: 3.00-13.68), preoperative creatinine (MD = 5.32, 95% CI: 0.55-10.08), and preoperative serum albumin (MD = -3.01, 95% CI: -4.21 - -1.80) were risk factors for POP. Related prophylactic measures should be provided in geriatric patients with the above-mentioned risk factors to prevent POP after hip fracture surgery.

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Cite This Study

Gao et al. (Thu,) studied this question.

synapsesocial.com/papers/69df41fc58b92af24d7a1457 https://doi.org/https://doi.org/10.1111/os.13631

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