Prevalence and influence factors of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt: a Meta-analysis
Objective To systematically evaluate the current status of hepatic encephalopathy (HE) and its influencing factors in patients after transjugular intrahepatic portosystemic shunt (TIPS).Methods Cochrane Library, PubMed, Embase, Web of Science, CINAHL , CNKI, VIP , CBM, WanFang database were searched...
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Editorial Office of New Medicine
2025-01-01
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| Series: | Yixue xinzhi zazhi |
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| Online Access: | https://yxxz.whuznhmedj.com/futureApi/storage/attach/2501/iNG7E4dkITjMvVcwnANM3RzU8IoxmcO5WqG1k9zv.pdf |
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| _version_ | 1832586526931812352 |
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| author | TANG Yuhan LUO Xinyu |
| author_facet | TANG Yuhan LUO Xinyu |
| author_sort | TANG Yuhan |
| collection | DOAJ |
| description | Objective To systematically evaluate the current status of hepatic encephalopathy (HE) and its influencing factors in patients after transjugular intrahepatic portosystemic shunt (TIPS).Methods Cochrane Library, PubMed, Embase, Web of Science, CINAHL , CNKI, VIP , CBM, WanFang database were searched from inception to October 20, 2024. Meta-analysis was performed using Stata 14.0 and RevMan 5.3 software.Results A total of 40 original studies involving 8,509 patients were included. The results of Meta-analysis showed that the incidence of HE in patients after TIPS was 31%[95%CI(28%, 34%)], and age [OR=1.22, 95%CI(1.15, 1.29)], MELD score [OR=1.46, 95%CI(1.29, 1.65)], preoperative blood creatinine [OR=1.27, 95%CI(1.14, 1.41)], Child-Pugh classification [OR=2.83, 95%CI(1.56, 5.13)], preoperative blood ammonia [OR=1.25, 95%CI(1.18, 1.33)], Child-Pugh score [OR=1.21, 95%CI(1.08, 1.35)], preoperative bilirubin [OR=1.35, 95%CI(1.11, 1.65)], preoperative sodium [OR=1.30, 95%CI(1.16, 1.45)], and a history of preoperative HE [OR=2.00, 95%CI(1.06, 3.76)] were the influence factors for the development of HE in patients after TIPS.Conclusion The incidence of HE in post-TIPS patients is high, and clinicians should identify and intervene early to minimize or delay the occurrence of HE in patients after the TIPS procedure referring to the influence factors. |
| format | Article |
| id | doaj-art-a95478c0337749cfaa81264e1d0f1efd |
| institution | Kabale University |
| issn | 1004-5511 |
| language | zho |
| publishDate | 2025-01-01 |
| publisher | Editorial Office of New Medicine |
| record_format | Article |
| series | Yixue xinzhi zazhi |
| spelling | doaj-art-a95478c0337749cfaa81264e1d0f1efd2025-01-25T11:11:09ZzhoEditorial Office of New MedicineYixue xinzhi zazhi1004-55112025-01-013519210110.12173/j.issn.1004-5511.2024100436591Prevalence and influence factors of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt: a Meta-analysisTANG YuhanLUO XinyuObjective To systematically evaluate the current status of hepatic encephalopathy (HE) and its influencing factors in patients after transjugular intrahepatic portosystemic shunt (TIPS).Methods Cochrane Library, PubMed, Embase, Web of Science, CINAHL , CNKI, VIP , CBM, WanFang database were searched from inception to October 20, 2024. Meta-analysis was performed using Stata 14.0 and RevMan 5.3 software.Results A total of 40 original studies involving 8,509 patients were included. The results of Meta-analysis showed that the incidence of HE in patients after TIPS was 31%[95%CI(28%, 34%)], and age [OR=1.22, 95%CI(1.15, 1.29)], MELD score [OR=1.46, 95%CI(1.29, 1.65)], preoperative blood creatinine [OR=1.27, 95%CI(1.14, 1.41)], Child-Pugh classification [OR=2.83, 95%CI(1.56, 5.13)], preoperative blood ammonia [OR=1.25, 95%CI(1.18, 1.33)], Child-Pugh score [OR=1.21, 95%CI(1.08, 1.35)], preoperative bilirubin [OR=1.35, 95%CI(1.11, 1.65)], preoperative sodium [OR=1.30, 95%CI(1.16, 1.45)], and a history of preoperative HE [OR=2.00, 95%CI(1.06, 3.76)] were the influence factors for the development of HE in patients after TIPS.Conclusion The incidence of HE in post-TIPS patients is high, and clinicians should identify and intervene early to minimize or delay the occurrence of HE in patients after the TIPS procedure referring to the influence factors.https://yxxz.whuznhmedj.com/futureApi/storage/attach/2501/iNG7E4dkITjMvVcwnANM3RzU8IoxmcO5WqG1k9zv.pdftransjugular intrahepatic portosystemic shunthepatic encephalopathyincidenceinfluence factorsmeta-analysis |
| spellingShingle | TANG Yuhan LUO Xinyu Prevalence and influence factors of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt: a Meta-analysis Yixue xinzhi zazhi transjugular intrahepatic portosystemic shunt hepatic encephalopathy incidence influence factors meta-analysis |
| title | Prevalence and influence factors of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt: a Meta-analysis |
| title_full | Prevalence and influence factors of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt: a Meta-analysis |
| title_fullStr | Prevalence and influence factors of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt: a Meta-analysis |
| title_full_unstemmed | Prevalence and influence factors of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt: a Meta-analysis |
| title_short | Prevalence and influence factors of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt: a Meta-analysis |
| title_sort | prevalence and influence factors of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt a meta analysis |
| topic | transjugular intrahepatic portosystemic shunt hepatic encephalopathy incidence influence factors meta-analysis |
| url | https://yxxz.whuznhmedj.com/futureApi/storage/attach/2501/iNG7E4dkITjMvVcwnANM3RzU8IoxmcO5WqG1k9zv.pdf |
| work_keys_str_mv | AT tangyuhan prevalenceandinfluencefactorsofhepaticencephalopathyaftertransjugularintrahepaticportosystemicshuntametaanalysis AT luoxinyu prevalenceandinfluencefactorsofhepaticencephalopathyaftertransjugularintrahepaticportosystemicshuntametaanalysis |