Effect of tobacco usage on surgical site wound problems after primary total hip and total knee arthroplasty: A meta‐analysis.

Autor: Zhu, Jiwen, Si, Mengdi, Huang, Zongqiang
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Zdroj: International Wound Journal; Jan2024, Vol. 21 Issue 1, p1-8, 8p
Abstrakt: The meta‐analysis aims to assess and compare the effect of tobacco usage on surgical site wound problems (SSWPs) after primary total hip and total knee arthroplasty (PTH&TKA). Using dichotomous random‐ or fixed‐effects models, the outcomes of this meta‐analysis were examined, and the odds ratio (OR) with 95% confidence intervals (CIs) was computed. Fifteen studies from 2001 to 2023 were enrolled for the present meta‐analysis including 560 819 personals with PTH&TKA. Smokers had significantly higher SSWPs (OR, 1.53; 95% CI, 1.21–1.94, p < 0.001) compared with non‐smokers in personals with PTH&TKA. Current smokers had significantly higher SSWPs (OR, 1.59; 95% CI, 1.40–1.80, p < 0.001) compared with non‐smokers in personals with PTH&TKA. Current smokers had significantly higher SSWPs (OR, 1.42; 95% CI, 1.19–1.70, p < 0.001) compared with former smokers in personals with PTH&TKA. However, former smokers and non‐smokers had no significant difference in SSWPs (OR, 1.11; 95% CI, 0.95–1.30, p = 19) in personals with PTH&TKA. The examined data revealed that in personals with PTH&TKA smokers had significantly higher SSWPs compared with non‐smokers, and current smokers had significantly higher SSWPs compared with non‐smokers and former smokers; however, former smokers and non‐smokers had no significant difference in SSWPs. Yet, attention should be implemented while relating to its values since some of the comparisons were made using a low number of selected studies. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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