1. Risk factors for Pseudomonas aeruginosa isolation in chronic obstructive pulmonary disease: a systematic review and meta-analysis
- Author
-
Yuyu Zhang, Nini Zhang, Tingting Li, Lanrui Jing, Yu Wang, and Wei Ge
- Subjects
Pseudomonas aeruginosa ,Risk factors ,COPD ,Systematic review ,Meta-analysis ,Diseases of the respiratory system ,RC705-779 - Abstract
Abstract Background Pseudomonas aeruginosa (PA) isolation in patients with chronic obstructive pulmonary disease (COPD) has been associated with a poor prognosis. This meta-analysis aimed to determine significant risk factors for PA isolation among patients with COPD. Methods A systematic literature retrieval from PubMed, Embase, Web of Science and China National Knowledge Infrastructure (CNKI) was conducted, including studies from January 2003 to September 2024. Case-control and cohort studies exploring the risk factors for PA isolation in patients with COPD were included in this analysis. A random-effects model was applied to estimate the pooled adjusted odds ratio (paOR) or hazard ratio (paHR) with the corresponding 95% confidence intervals (CI). Results Thirteen eligible studies with a total of 25,802 participants were included in this meta-analysis. Prior systemic steroid therapy (paOR: 2.67; 95% CI: 1.29–5.53; P = 0.008), previous antibiotic treatment (paOR: 2.83; 95% CI: 1.14–6.97; P = 0.02), high “Body mass index, airflow Obstruction, Dyspnea, Exercise capacity” (BODE) index (paOR: 4.13; 95% CI: 1.67–10.23; P = 0.002), 6-min walking distance (6MWD) 20 points (paOR: 2.49; 95% CI: 1.46–4.23; P = 0.001), hypoproteinemia (paOR: 2.62; 95%CI: 1.32–5.19; P = 0.006), hospitalizations in the previous year (paOR: 3.74; 95%CI: 1.22–11.49; P = 0.021), Bronchiectasis (paOR = 4.81; 95% CI: 3.66–6.33; P
- Published
- 2024
- Full Text
- View/download PDF