Meta-analysis of Complications and Influencing Factors After Hip Joint Replacement Surgerye

Sanni Zhang^{1, 2}, Jiangpeng Zhao², Xiaoting Li¹, Dan Huang¹, Yue Li³, Huamei Li⁴ and Jun Tang^1,

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

Cite this paper:
Sanni Zhang, Jiangpeng Zhao, Xiaoting Li, Dan Huang, Yue Li, Huamei Li and 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

Abstract

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.

Keywords:
total hip arthroplasty complications influencing factors readmission Meta-analysis

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