{"title":"经皮冠状动脉介入术后出血的发生率：系统回顾和荟萃分析。","authors":"Reza Heidary Moghadam , Aida Mohammadi , Nader Salari , Arkan Ahmed , Shamarina Shohaimi , Masoud Mohammadi","doi":"10.1016/j.ihj.2024.01.009","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Bleeding is a common complication associated with percutaneous coronary intervention (PCI). The aim of this study was to determine the prevalence of bleeding after PCI through a systematic review and meta-analysis.</p></div><div><h3>Methods</h3><p>The systematic review and meta-analysis covered the period from 1989 to 2023. Multiple databases, including Embase, PubMed, Scopus, Web of Sciences (WoS), MagIran, Scientific Information Database (SID), and Google Scholar, were searched using validated keywords with MeSH and Emtree. The I<sup>2</sup> index was used to check for heterogeneity among studies.</p></div><div><h3>Results</h3><p>The review of 8 studies, with a sample size of 397,298 participants, showed high heterogeneity (I<sup>2</sup>: 97.8 %). Therefore, the random effects method was used to analyze the results. The prevalence of bleeding after intervention in percutaneous coronary arteries was reported to be 4.4 % (95%CI: 2–9.1).</p></div><div><h3>Conclusion</h3><p>This meta-analysis showed a significant prevalence of bleeding after PCI, highlighting the need for health policymakers to pay more attention to the complications associated with PCI. Interventional cardiologists should consider the effective factors in these bleeding and how to treat and control them due to the importance of this complication.</p></div>","PeriodicalId":13384,"journal":{"name":"Indian heart journal","volume":"76 1","pages":"Pages 16-21"},"PeriodicalIF":1.4000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0019483224000099/pdfft?md5=a5e31e8654341624dc1dbed9dcea05da&pid=1-s2.0-S0019483224000099-main.pdf","citationCount":"0","resultStr":"{\"title\":\"The prevalence of bleeding after percutaneous coronary interventions: A systematic review and meta-analysis\",\"authors\":\"Reza Heidary Moghadam , Aida Mohammadi , Nader Salari , Arkan Ahmed , Shamarina Shohaimi , Masoud Mohammadi\",\"doi\":\"10.1016/j.ihj.2024.01.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Bleeding is a common complication associated with percutaneous coronary intervention (PCI). The aim of this study was to determine the prevalence of bleeding after PCI through a systematic review and meta-analysis.</p></div><div><h3>Methods</h3><p>The systematic review and meta-analysis covered the period from 1989 to 2023. Multiple databases, including Embase, PubMed, Scopus, Web of Sciences (WoS), MagIran, Scientific Information Database (SID), and Google Scholar, were searched using validated keywords with MeSH and Emtree. The I<sup>2</sup> index was used to check for heterogeneity among studies.</p></div><div><h3>Results</h3><p>The review of 8 studies, with a sample size of 397,298 participants, showed high heterogeneity (I<sup>2</sup>: 97.8 %). Therefore, the random effects method was used to analyze the results. The prevalence of bleeding after intervention in percutaneous coronary arteries was reported to be 4.4 % (95%CI: 2–9.1).</p></div><div><h3>Conclusion</h3><p>This meta-analysis showed a significant prevalence of bleeding after PCI, highlighting the need for health policymakers to pay more attention to the complications associated with PCI. Interventional cardiologists should consider the effective factors in these bleeding and how to treat and control them due to the importance of this complication.</p></div>\",\"PeriodicalId\":13384,\"journal\":{\"name\":\"Indian heart journal\",\"volume\":\"76 1\",\"pages\":\"Pages 16-21\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S0019483224000099/pdfft?md5=a5e31e8654341624dc1dbed9dcea05da&pid=1-s2.0-S0019483224000099-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian heart journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0019483224000099\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian heart journal","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0019483224000099","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
摘要
背景：出血是经皮冠状动脉介入治疗（PCI）的常见并发症：出血是经皮冠状动脉介入治疗（PCI）的常见并发症。本研究旨在通过系统回顾和荟萃分析确定 PCI 术后出血的发生率：系统回顾和荟萃分析的时间跨度为 1989 年至 2022 年。使用MeSH和Emtree验证的关键词对多个数据库进行了检索，包括Embase、PubMed、Scopus、Web of Sciences（WoS）、MagIran、Scientific Information Database（SID）和Google Scholar。采用 I2 指数检查研究之间的异质性：结果：对 8 项研究（样本量为 397 298 人）的审查显示异质性很高（I2：97.8%）。因此，采用随机效应法对结果进行分析。据报道，经皮冠状动脉介入治疗后出血的发生率为4.4%（95%CI：2-9.1）：这项荟萃分析表明，PCI术后出血的发生率很高，这凸显了卫生政策制定者需要更加关注PCI相关并发症。由于这种并发症的重要性，介入心脏病专家应考虑这些出血的有效因素以及如何治疗和控制这些因素。
The prevalence of bleeding after percutaneous coronary interventions: A systematic review and meta-analysis
Background
Bleeding is a common complication associated with percutaneous coronary intervention (PCI). The aim of this study was to determine the prevalence of bleeding after PCI through a systematic review and meta-analysis.
Methods
The systematic review and meta-analysis covered the period from 1989 to 2023. Multiple databases, including Embase, PubMed, Scopus, Web of Sciences (WoS), MagIran, Scientific Information Database (SID), and Google Scholar, were searched using validated keywords with MeSH and Emtree. The I2 index was used to check for heterogeneity among studies.
Results
The review of 8 studies, with a sample size of 397,298 participants, showed high heterogeneity (I2: 97.8 %). Therefore, the random effects method was used to analyze the results. The prevalence of bleeding after intervention in percutaneous coronary arteries was reported to be 4.4 % (95%CI: 2–9.1).
Conclusion
This meta-analysis showed a significant prevalence of bleeding after PCI, highlighting the need for health policymakers to pay more attention to the complications associated with PCI. Interventional cardiologists should consider the effective factors in these bleeding and how to treat and control them due to the importance of this complication.
期刊介绍：
Indian Heart Journal (IHJ) is the official peer-reviewed open access journal of Cardiological Society of India and accepts articles for publication from across the globe. The journal aims to promote high quality research and serve as a platform for dissemination of scientific information in cardiology with particular focus on South Asia. The journal aims to publish cutting edge research in the field of clinical as well as non-clinical cardiology - including cardiovascular medicine and surgery. Some of the topics covered are Heart Failure, Coronary Artery Disease, Hypertension, Interventional Cardiology, Cardiac Surgery, Valvular Heart Disease, Pulmonary Hypertension and Infective Endocarditis. IHJ open access invites original research articles, research briefs, perspective, case reports, case vignette, cardiovascular images, cardiovascular graphics, research letters, correspondence, reader forum, and interesting photographs, for publication. IHJ open access also publishes theme-based special issues and abstracts of papers presented at the annual conference of the Cardiological Society of India.
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