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Comparison of wound complications between one‐stage and two‐stage brachiobasilic arteriovenous fistula: A meta‐analysis.

Authors :
Lu, Yanyan
Xiao, Jiao
Liu, Chunyan
Wang, Yuan
Source :
International Wound Journal; Nov2023, Vol. 20 Issue 9, p3786-3793, 8p
Publication Year :
2023

Abstract

Research assessing the outcome of brachiobasilic arteriovenous fistulas (BB‐AVF) after a one‐ and two‐stage technique was conducted. A strict review of the comprehensive literature up to May 2023 was carried out using four databases‐PubMed,Embase, Cochrane Library and web of science. Inclusion and exclusion criteria developed for the study were then applied to assess the quality of the literature, it was decided to review 12 interrelated studies.95% confidence intervals (Cl) and odds ratios (OR) were calculated using fixed effects models. The data were meta‐analysed using RevMan 5.3 software. The results showed that two‐stage technique with BB‐AVF reduced surgical site haematoma (SSH) formation, (OR, 2.28; 95% CI, 1.24–4.17, p = 0.008), and also reduced surgical site wound infection (SSWI) (OR, 1.86; 95% CI, 1.17–2.94, p = 0.008). There are, however, several small sample sizes in the selected studies for this meta‐analysis, so caution should be used when processing their values. There are more high‐quality studies with large sample sizes that should be considered for future meta‐analyses. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
17424801
Volume :
20
Issue :
9
Database :
Complementary Index
Journal :
International Wound Journal
Publication Type :
Academic Journal
Accession number :
173114916
Full Text :
https://doi.org/10.1111/iwj.14278