Meta-Analysis
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2024; 12(19): 3898-3907
Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3898
Efficacy and safety analysis of continued nursing of complications in discharged patients after percutaneous transhepatic biliary drainage
Yu-Lin Huang, Meng-Chang Lin, Bai-Yun Wang
Yu-Lin Huang, Department of Otolaryngology, Affiliated Nanhua Hospital, University of South China, Hengyang 421002, Hunan Province, China
Meng-Chang Lin, Department of Gastrointestinal Surgery, Jiangsu Provincial People's Hospital, Nanjing 210029, Jiangsu Province, China
Bai-Yun Wang, Department of Anesthesiology, Affiliated Nanhua Hospital, University of South China, Hengyang 421002, Hunan Province, China
Author contributions: Huang YL wrote the manuscript; Lin MC collected the data; and Wang BY guided the study; all authors reviewed, edited, and approved the final manuscript and revised it critically for important intellectual content, gave final approval of the version to be published, and agreed to be accountable for all aspects of the work.
Conflict-of-interest statement: All authors declare no conflicts of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bai-Yun Wang, MM, Doctor, Department of Anesthesiology, Affiliated Nanhua Hospital, University of South China, No. 336 Dongfeng South Road, Zhuhui District, Hengyang 421002, Hunan Province, China. 2549732620@qq.com
Received: February 29, 2024
Revised: April 23, 2024
Accepted: May 8, 2024
Published online: July 6, 2024
Processing time: 121 Days and 6.4 Hours
Abstract
BACKGROUND

Percutaneous hepatobiliary drainage (PTCD) is an effective method for the treatment of biliary obstruction and other diseases, but postoperative complications are still one of the important problems faced by patients. Continuous nursing is a comprehensive nursing model that plays an important role in postoperative recovery. The purpose of this study was to investigate the effect of continuous nursing on the incidence of complications in patients after PTCD surgery through meta-analysis and to evaluate its efficacy and safety.

AIM

To evaluate the effect of extended nursing on the incidence of complications in discharged patients after percutaneous transhepatic biliary drainage (PTBD).

METHODS

Randomized controlled studies on PTBD postdischarge extended care were identified in the CNKI, Wanfang, VIP, CBM, PubMed, Cochrane Library, Embase, Web of Science, and other databases. The quality of the included studies was evaluated using the Joanna Briggs Institute of Australia literature quality evaluation tool, and a meta-analysis of the included studies was performed with RevMan 5.4 software.

RESULTS

Finally, 9 studies were included, with a total sample size of 854 patients (425 patients in the control group and 429 patients in the intervention group). Meta-analysis revealed that extended care effectively reduced biliary tract infection (RR: 0.42, 95%CI: 0.30-0.57), puncture wound infection (RR: 0.19, 95%CI: 0.06-0.65), catheter protrusion or displacement in discharged patients after PTBD (RR: 0.31, 95%CI: 0.18-0.54), catheter blockage (RR: 0.23, 95%CI: 0.13-0.42), skin infection around the drainage tube (RR: 0.30, 95%CI: 0.12-0.77), and catheter-related readmissions (RR: 0.34, 95%CI: 0.18-0.65) (P < 0.05).

CONCLUSION

Compared with conventional discharge care, extended care can effectively reduce the occurrence of complications such as biliary tract infection, puncture wound infection, catheter prolapse or displacement, catheter blockage, skin infection around the drainage tube, and catheter-related readmission in discharged patients after PTBD.

Keywords: Extended care; Percutaneous transhepatic puncture biliary drainage; Complications; Continued nursing; Meta-analysis

Core Tip: To evaluate the effect of continuous care on the incidence of complications in discharged patients after percutaneous hepatobiliary drainage through meta-analysis and to explore its efficacy and safety. We will systematically collect relevant literature and comprehensively analyze the role of continuous care in reducing postoperative complications and promoting patients' recovery. This study is of great significance for guiding clinical practice and is expected to provide a more effective nursing mode for medical staff and reduce the risk of postoperative complications for patients.