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ICU医用粘胶相关性皮肤损伤患者相关因素的meta分析
引用本文:潘春柳,黄志华. ICU医用粘胶相关性皮肤损伤患者相关因素的meta分析[J]. 国际医药卫生导报, 2022, 28(2): 270-277. DOI: 10.3760/cma.j.issn.1007-1245.2022.02.031
作者姓名:潘春柳  黄志华
作者单位:深圳市萨米医疗中心重症医学科,深圳 518118
摘    要:目的:探讨重症监护病房(ICU)医用粘胶相关性皮肤损伤(MARSI)的患者相关因素。方法:使用计算机检索国内外文献数据库服务系统中关于ICU MARSI患者相关因素的文献,如国外的PubMed、Web of Science、ProQuest,国内的中国知网、中国生物医学文献服务系统、万方数据论文检索系统、百度学术、维普...

关 键 词:医用粘胶相关性皮肤损伤  ICU  患者相关因素  meta分析
收稿时间:2021-07-06

Meta-analysis of patient-related factors of medical adhesive related skin injury in ICU
Pan Chunliu,Huang Zhihua. Meta-analysis of patient-related factors of medical adhesive related skin injury in ICU[J]. International Medicine & Health Guidance News, 2022, 28(2): 270-277. DOI: 10.3760/cma.j.issn.1007-1245.2022.02.031
Authors:Pan Chunliu  Huang Zhihua
Affiliation:ICU, Sami Medical Center, Shenzhen City, Shenzhen 518118, China
Abstract:Objective To investigate the patient-related factors of medical adhesiverelated skin injury (MARSI) in ICU. Methods The domestic and foreign literature database servicesystems were searched by the computer for literatures on the patient-related factors of MARSI inICU, such as foreign PubMed, Web of Science, and ProQuest, and domestic CnKI, China BiomedicalLiterature Service System, Wanfang Data Paper Retrieval System, Baidu Academic, and VIP, from theestablishment of the database to September 2020. Appropriate literatures were selected, the data ofthe literatures were extracted, and the quality evaluation was carried out. Meta-analysis wasconducted by RevMan 5.3 and SPSS 22.0 software. The effect statistics of dichotomous variableswere in the form of odds ratio (OR), weighted mean difference was selected for continuity variables,and 95% confidence interval (95%CI) was used for interval estimation. Results A total of7 literatures with 2 967 patients were included, including 1 English article and 6 Chineseliteratures, 6 experimental studies and 1 cross-sectional study. Meta-analysis results showed thatage, body mass index (BMI), state of consciousness, fever, dry skin, skin moisture, skin edema,history of allergy, serum albumin level, low Barden /Waterlow score, and the score of AcutePhysiology and Chronic Health Evaluation Scoring System (APACHE Ⅱ) higher than 10 points were all patient-related factors of MARSI in ICU (all P<0.01). Conclusion The incidence of MARSI in ICUis high, which is caused by a variety of factors. As internal factors of MARSI, patient-related factorsneed to be attached great importance to by medical staff.
Keywords:Medical adhesive related skin injury  ICU  Patient-related factors  Meta-analysis
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