Meta-analysis of association between drainage and postoperative infection after hip replacement

doi:10.3877/cma.j.issn.1674-134X.2021.03.007

Abstract

Abstract:

Objective

To evaluate the correlation between drainage and postoperative infection after hip arthroplasty.

Methods

PUBMED, Cochrane Central Register of Controlled Trials, Chinese National Knowledge Infrastructure, the Chongqing VIP database and Wanfang Data from the inception of each database up to 31 December 2019 were electronically searched. High-quality randomized clinical trials (RCTs) of drainage and non-drainage after hip arthroplasty, which evaluated indicators of postoperative infection were included. The Cochrane risk of bias tool was used to assess the risk of bias. The Cochrane Collaboration’s RevMan5.3 software was used for meta-analysis.

Results

Fifteen studies were included and made a meta-analysis. The meta-analysis results showed no significant difference in postoperative infection rate between the drainage group and the non-drainage group[ relative risk (RR)=1.04, 95% confidence interval (CI) (0.64, 1.69), P=0.87].

Conclusion

Drainage after hip arthroplasty did not reduce the postoperative infection rate compared with the non-drainage group. More central, large sample RCTs are needed to obtain the best evidence.

Key words: Arthroplasty, replacement, hip, Drainage, Surgical wound infection, Meta-analysis

Xiaolei Liu, Yiqin Zhou, Qirong Qian. Meta-analysis of association between drainage and postoperative infection after hip replacement[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(03): 302-306.

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URL: https://zhgjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-134X.2021.03.007

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Figures/Tables 7

References 25

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纳入研究	发表时间	引流组例数	不引流组例数	随访时间
Beer ^[9]	1991	12	12	3个月
Murphy ^[14]	1993	18	19	10 d
Ritter ^[15]	1994	78	62	出院
Ovadia ^[16]	1997	18	12	出院
Kim ^[18]	1998	48	48	15个月
Crevoisier ^[17]	1998	33	33	出院
Niskanen ^[19]	2000	27	31	2个月
Widman ^[20]	2002	10	12	未提及
Gonzalez ^[21]	2004	53	51	3个月
Johansson ^[23]	2005	54	51	2个月
Walmsley ^[22]	2005	282	295	36个月
Dora ^[2]	2007	50	50	12个月
Strahovnik ^[8]	2010	97	42	3个月
Cheung ^[24]	2010	52	48	12个月
Kleinert ^[25]	2012	40	40	3个月

纳入研究	发表时间	引流组例数	不引流组例数	随访时间
Beer ^[9]	1991	12	12	3个月
Murphy ^[14]	1993	18	19	10 d
Ritter ^[15]	1994	78	62	出院
Ovadia ^[16]	1997	18	12	出院
Kim ^[18]	1998	48	48	15个月
Crevoisier ^[17]	1998	33	33	出院
Niskanen ^[19]	2000	27	31	2个月
Widman ^[20]	2002	10	12	未提及
Gonzalez ^[21]	2004	53	51	3个月
Johansson ^[23]	2005	54	51	2个月
Walmsley ^[22]	2005	282	295	36个月
Dora ^[2]	2007	50	50	12个月
Strahovnik ^[8]	2010	97	42	3个月
Cheung ^[24]	2010	52	48	12个月
Kleinert ^[25]	2012	40	40	3个月

纳入研究	发表时间	随机序列的产生	分配隐藏	参与者盲法	评估者盲法	结局数据完整性	选择报告	其他偏倚
Beer ^[9]	1991	U	U	H	L	L	U	L
Murphy ^[14]	1993	L	U	H	L	L	U	L
Ritter ^[15]	1994	L	U	H	L	L	U	L
Ovadia ^[16]	1997	L	U	H	L	L	U	L
Kim ^[18]	1998	U	U	H	L	L	U	L
Crevoisier ^[17]	1998	L	U	H	L	L	U	L
Niskanen ^[19]	2000	U	U	H	L	L	U	L
Widman ^[20]	2002	L	U	H	L	L	U	L
Gonzalez ^[21]	2004	L	U	H	L	L	U	L
Johansson T^[23]	2005	L	U	H	L	L	U	L
Walmsley ^[22]	2005	U	U	H	L	L	U	L
Dora ^[2]	2007	U	U	H	L	L	U	L
Strahovnik ^[8]	2010	L	U	H	L	L	U	L
Cheung ^[24]	2010	L	U	H	L	L	U	L
Kleinert ^[25]	2012	L	U	H	L	L	U	L

纳入研究	发表时间	随机序列的产生	分配隐藏	参与者盲法	评估者盲法	结局数据完整性	选择报告	其他偏倚
Beer ^[9]	1991	U	U	H	L	L	U	L
Murphy ^[14]	1993	L	U	H	L	L	U	L
Ritter ^[15]	1994	L	U	H	L	L	U	L
Ovadia ^[16]	1997	L	U	H	L	L	U	L
Kim ^[18]	1998	U	U	H	L	L	U	L
Crevoisier ^[17]	1998	L	U	H	L	L	U	L
Niskanen ^[19]	2000	U	U	H	L	L	U	L
Widman ^[20]	2002	L	U	H	L	L	U	L
Gonzalez ^[21]	2004	L	U	H	L	L	U	L
Johansson T^[23]	2005	L	U	H	L	L	U	L
Walmsley ^[22]	2005	U	U	H	L	L	U	L
Dora ^[2]	2007	U	U	H	L	L	U	L
Strahovnik ^[8]	2010	L	U	H	L	L	U	L
Cheung ^[24]	2010	L	U	H	L	L	U	L
Kleinert ^[25]	2012	L	U	H	L	L	U	L

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