Common complications of arm port and chest port:a meta-analysis / 中华护理杂志

ABSTRACT

Objective To analyze common complications of arm port and chest port using meta-analysis and to investigate the safety of ann port.Methods Randomized controlled trials,cohort studies and well-designed casecontrol trials published in CNKI,Wanfang,VIP,PubMed,CINAHL and Embase regarding complication comparison between arm port and chest port were searched.Review Manager 5.3 software was applied to analyze outcome indicators.Results Nine retrospective cohort studies and 2511 patients were included.The results of meta-analysis showed that the incidence of thrombosis in ann port group was lower than that in chest port group,and the difference was statistically significant [0R=0.51,95％CI (0.28,0.92),P=0.03].However,there was no significant difference in incidence of infection[OR=0.85,95％CI(0.53,1.38),P=0.52],incidence of obstruction[OR=1.05,95％CI(0.37,3.01),P=0.92],incidence of sepsis [OR =0.44,95％ CI (0.10,1.87),P=0.27],incidence of skin incision [OR =0.28,95％ CI (0.07,1.17),P=0.08].Conclusion The incidence of thrombosis in ann port was lower than that in chest port,and there was no obvious advantage in the incidence of infection,obstruction,sepsis and skin incision.