天津护理2025,Vol.33Issue(3):301-305,5.DOI:10.3969/j.issn.1006-9143.2025.03.010
艾滋病实施肾脏替代治疗患者死亡相关危险因素的Meta分析
Risk factors associated with mortality in patients with AIDS receiving renal replacement therapy:a meta analysis
摘要
Abstract
Objective:To evaluate the risk factors associated with death in patients with AIDS receiving renal replacement therapy by meta-analysis system.Methods:Cochrane Library,PubMed,Web of Science,Embase,Wanfang,CNKI,and VIP were searched for the risk factors associated with death in patients with AIDS combined with renal replacement therapy from the inception to May 13,2023,and meta-analysis was performed by using RevMan 5.3.Results:A total of 9 papers containing 25 relevant risk factors were included.Among them,advanced age[HR=1.21,95%CI(1.12,1.32)]was a risk factor for death in patients with AIDS receiving renal replacement therapy(P<0.001).Lack of highly active antiretroviral therapy(HAART)[HR=0.47,95%CI(0.32,0.69)],prolonged hospitalization[HR=0.94,95%CI(0.90,0.98)],normal body mass index(BMI)(18.5 kg/m2 ≤ BMI<24 kg/m2)[HR=0.34,95%CI(0.17,0.68)],overweight and obesity(BMI ≥24 kg/m2)[HR=0.41,95%CI(0.23,0.72)]were protective factors for death in patients with AIDS receiving renal replacement therapy(P<0.001).Conclusion:Advanced age is a risk factor for death in patients with AIDS receiving renal replacement therapy,and lack of HAART,prolonged hospitalisation,normal BMI,overweight and obesity are protective factors.The targeted intervention measures should be taken to reduce the prevelence of death.关键词
艾滋病/肾脏替代治疗/死亡/危险因素/Meta分析Key words
AIDS/Renal replacement therapy/Death/Risk factors/Meta-analysis分类
临床医学引用本文复制引用
申继传,刘平芳,张仙娟,李中正,张群红,刘娟..艾滋病实施肾脏替代治疗患者死亡相关危险因素的Meta分析[J].天津护理,2025,33(3):301-305,5.基金项目
湖南省卫生健康委科研计划项目(202214014593) (202214014593)