体重指数与肩关节置换临床结果的荟萃分析

目的]探讨身体质量指数(body mass index,BMI)与肩关节置换术后临床效果的关系.方法]搜索英文数据库PubMed,Embase,Web of Science,Cochrane与中文数据库万方、CNKI、维普中关于肥胖与肩关节置换术相关的文献.采用纽卡斯尔-渥太华量表(Newcastle-Ottawa...

Relationship between body mass index and clinical outcomes of shoulder arthroplasty:a meta-analysis

Objective]To explore whether body mass index(BMI)is associated with adverse events after shoulder arthroplasty.Methods]The published papers about the relationship between obesity and shoulder arthroplasty were searched from databases,such as PubMed,EMBASE,Web of Science and Cochrane in English,as well as Wanfang,CNKI and VIP in Chinese.The quality of the literatures was evaluated by Newcastle Ottawa scale(NOS),and the data of the included literatures were extracted.Revman 5.3 software provided by Cochrane Collaboration Network was used for a meta-analysis.Results]A total of 10 literatures were included,with sample size in each study ranged from 76 to 144139.All the studies were enrolled as observational studies,including 3 prospective studies and 7 retrospective studies,which all proved of high-quality.As results of the meta-analysis,the obesity(BMI>30 kg/m²)had significantly higher postoperative infection rateOR=3.83,95%CI(2.72~5.41),I²=64%],significantly higher incidence of venous thrombosisOR=3.93,95%CI(3.61~4.29)],while the overweight(BMI>25kg/m²)consumed significantly longer operation timeMD=6.90,95%CI(3.79-10.00),I²=0%].However,there were no significant differences between the overweight patients and the normal weight patients in terms of postoperative compli-cationsOR=0.87,95%C/(0.71~1.08),I²=38%],postoperative revision ratesOR=1.48,95%CI(1.39~1.57),I²=71%],hospitalization timeMD=0.03,95%CI(-0.03?0.09),I²=1%]and American Shoulder and Elbow Surgeon(ASE)scoresMD=0.36,95%CI(-7.38?8.11),I²=0%].Conclusion]The obesity has considerably higher risk of infection and takes significantly longer operation time,However,all pa-tients do get benefit from shoulder arthroplasty.