1Nursing College, Dali University, Dali, 671000, PR China
2Great Health of College, Yunnan Technology and Business University, Kunming, 650000, PR China
3Department of Joint Surgery, the First Affiliated Hospital of Dali University, Dali, 671000, PR China
4Department of Hepatobiliary Surgery,the Affiliated Drum Tower Hospital, Medical school, Nanjing University, Nanjing, 210008, PR China
American Journal of Nursing Research.
2024,
Vol. 12 No. 1, 1-12
DOI: 10.12691/ajnr-12-1-1
Copyright © 2024 Science and Education PublishingCite this paper: Sanni Zhang, Jiangpeng Zhao, Xiaoting Li, Dan Huang, Yue Li, Huamei Li, Jun Tang. Meta-analysis of Complications and Influencing Factors After Hip Joint Replacement Surgerye.
American Journal of Nursing Research. 2024; 12(1):1-12. doi: 10.12691/ajnr-12-1-1.
Correspondence to: Jun Tang, Nursing College, Dali University, Dali, 671000, PR China. Email:
1660870619@qq.comAbstract
Objective: To explore the postoperative complications and influencing factors of hip arthroplasty. Methods: We searched Chinese databases including CNKI, CBM, Wanfang, VIP, as well as English databases such as PubMed, Embase, Web of Science, and Cochrane Library. The search covered literature published in both Chinese and English up to March 1, 2023. The quality of included studies was assessed using the NOS Ottawa scale, and data analysis was conducted using Revman 5.3. Results: A total of 23 articles were included in this meta-analysis, with a combined sample size of 9099 cases. The results showed that age (RR=1.87, 95% CI 0.74, 3.00, P=0.001, P<0.05), female gender (RR=1.12, 95% CI 1.05, 1.12, P=0.001, P<0.05), surgery duration (RR=17.44, 95% CI 10.97, 23.92, P<0.00001, P<0.05), intraoperative bleeding (RR=61.30, 95% CI 16.56, 106.04, P=0.007, P<0.01) were significantly associated with postoperative complications of hip arthroplasty. BMI (RR=0.46, 95% CI -1.25, 2.18, P=0.59, P>0.05), hospital stay (RR=1.81, 95% CI -0.80, 4.42, P=0.17, P>0.05) showed no significant correlation with postoperative complications. Dislocation of prosthesis (RR=3.79, 95% CI 1.67, 8.64, P=0.001, P<0.05), prosthesis loosening (RR=3.98, 95% CI 2.76, 5.74, P<0.00001, P<0.05), periprosthetic infection (RR=2.52, 95% CI 1.09, 5.81, P=0.03, P<0.05), periprosthetic fracture (RR=5.86, 95% CI 1.85, 18.55, P=0.003, P<0.05), and postoperative deep vein thrombosis (RR=5.31, 95% CI 1.48, 19.12, P=0.01, P<0.05) were correlated with rehospitalization after hip arthroplasty. Conclusion: Female patients, older age, longer operation time, and intraoperative bleeding were related to postoperative complications in hip arthroplasty patients, while BMI and hospital stay had no obvious correlation of complications after hip arthroplasty.There was a correlation between prosthesis dislocation, prosthesis loosening, periprosthetic infection, periprosthetic fracture, and postoperative DVT and postoperative readmission. Medical staff should strengthen the care of patients with these related factors, avoid or reduce the occurrence of postoperative complications, and reduce the readmission rate of patients.
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