Meta-Analysis
Copyright ©The Author(s) 2024.
World J Gastrointest Surg. May 27, 2024; 16(5): 1420-1429
Published online May 27, 2024. doi: 10.4240/wjgs.v16.i5.1420
Table 2 Meta-analysis of factors affecting gastrointestinal dysfunction in patients after gastrointestinal surgery
Research factor
Inclusion study
Heterogeneity test
Effect model
Meta-analysis results
P value
I2 (%)
OR (95%CI)
P value
Body mass index (≥ 25.3 kg/m2)4 studies[14,20,23,27]0.590Immobilization1.06 (1.00-1.12)0.040
Age9 studies[9,14,15,20,22,23,25-27]0.1740Immobilization2.25 (1.76-2.87)< 0.001
Smoking history4 studies[4,10,13,21]0.560Immobilization1.89 (1.31-2.73)< 0.001
Chronic obstructive pulmonary disease4 studies[10,11,13,15]0.2626Immobilization1.45 (1.24-1.69)< 0.001
Enterostomy4 studies[10,11,13,23]0.660Immobilization1.47 (1.26-1.70)< 0.001
History of abdominal operation6 studies[8,9,14,19,20,22]0.450Immobilization2.90 (1.67-5.03)< 0.001
Surgical site7 studies[10,13,14,16,21-23]0.1744Immobilization1.92 (1.40-2.62)< 0.001
Operation duration7 studies[11,14,15,25,27-29]0.2136Immobilization2.65 (1.92-3.67)< 0.001
Grade of abdominal adhesion4 studies[20,22,27,29]0.330Immobilization2.52 (1.90-3.56)< 0.001
Tumor TNM staging2 studies[14,25]0.780Immobilization2.58 (1.84-3.62)< 0.001
Gender (male)15 studies[4,10-13,15-18,20,21,23,25,27,28]< 0.00181Random1.58 (1.25-2.01)0.002
Mode of operation9 studies[14-16,21-26]0.3587Random1.68 (1.08-2.62)0.020
Postoperative opioid use history7 studies[9,14,17,20,25-27]0.1351Random5.35 (3.29-8.71)< 0.001
Postoperative transfusion6 studies[11,18,20,22,28,29]0.0964Random2.92 (0.88-9.73)< 0.001
Postoperative body temperature2 studies[17,25]< 0.00199Random5.72 (0.76-42.96)0.090
Preoperative low albumin (< 30 g/L)6 studies[9,13-15,24,29]< 0.00196Random0.37 (0.08-1.72)0.210