Prevalence, characteristics, and risk factors of venous thromboembolism in patients with brain tumor undergoing craniotomy : a meta-analysis
© 2023. Fondazione Società Italiana di Neurologia..
BACKGROUND: Brain tumor patients undergoing craniotomy are significantly associated with the development of venous thromboembolism (VTE), while the contributing factors remains controversial. Our study aimed to investigate the prevalence and risk factors for VTE in postoperational brain tumor patients.
METHODS: We searched the PubMed, Embase, Web of Science, Medline, and Cochrane Library databases from their inception to July 2023. Article selection, data extraction, and study quality assessment were performed independently by two reviewers. Publication bias was assessed using Egger's and Begg's tests. Stata 15.0 software was used for data analysis.
RESULTS: A total of 25 studies were considered, with a total of 49,620 brain tumor individuals. The pooled prevalence of VTE during hospitalization in postoperational brain tumor patients was 9% [95% CI: (0.08, 0.10)]. Moreover, our results demonstrated that patients with VTE were older than those without VTE [mean difference [MD] = 8.14, 95% CI: (4.97, 11.30)]. The following variables were significantly associated with VTE: prior history of VTE [OR = 7.81, 95% CI: (3.62, 16.88)], congestive heart failure [OR = 2.33, 95% CI: (1.08-5.05)], diabetes [OR = 1.87, 95% CI: (1.12-3.10)], hypertension [OR = 1.27, 95% CI: (1.07-1.50)], steroid use [OR = 1.63, 95% CI: (1.41, 1.88)], high white blood cells counts [MD = 0.32, 95% CI: (0.01, 0.63)], and high fibrinogen levels [MD = 0.19, 95% CI: (0.08, 0.30)].
CONCLUSION: This meta-analysis identified risk factors for postoperational VTE in patients with brain tumor, which can serve as a theoretical foundation for medical staff to manage and treat VTE.
TRIAL REGISTRATION: CRD42023357459.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2024 |
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Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - volume:45 |
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Enthalten in: |
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology - 45(2024), 4 vom: 01. März, Seite 1565-1580 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Zeng, Qingping [VerfasserIn] |
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Links: |
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Themen: |
Brain tumor |
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Anmerkungen: |
Date Completed 18.03.2024 Date Revised 18.03.2024 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1007/s10072-023-07160-6 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM364396512 |
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245 | 1 | 0 | |a Prevalence, characteristics, and risk factors of venous thromboembolism in patients with brain tumor undergoing craniotomy |b a meta-analysis |
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520 | |a © 2023. Fondazione Società Italiana di Neurologia. | ||
520 | |a BACKGROUND: Brain tumor patients undergoing craniotomy are significantly associated with the development of venous thromboembolism (VTE), while the contributing factors remains controversial. Our study aimed to investigate the prevalence and risk factors for VTE in postoperational brain tumor patients | ||
520 | |a METHODS: We searched the PubMed, Embase, Web of Science, Medline, and Cochrane Library databases from their inception to July 2023. Article selection, data extraction, and study quality assessment were performed independently by two reviewers. Publication bias was assessed using Egger's and Begg's tests. Stata 15.0 software was used for data analysis | ||
520 | |a RESULTS: A total of 25 studies were considered, with a total of 49,620 brain tumor individuals. The pooled prevalence of VTE during hospitalization in postoperational brain tumor patients was 9% [95% CI: (0.08, 0.10)]. Moreover, our results demonstrated that patients with VTE were older than those without VTE [mean difference [MD] = 8.14, 95% CI: (4.97, 11.30)]. The following variables were significantly associated with VTE: prior history of VTE [OR = 7.81, 95% CI: (3.62, 16.88)], congestive heart failure [OR = 2.33, 95% CI: (1.08-5.05)], diabetes [OR = 1.87, 95% CI: (1.12-3.10)], hypertension [OR = 1.27, 95% CI: (1.07-1.50)], steroid use [OR = 1.63, 95% CI: (1.41, 1.88)], high white blood cells counts [MD = 0.32, 95% CI: (0.01, 0.63)], and high fibrinogen levels [MD = 0.19, 95% CI: (0.08, 0.30)] | ||
520 | |a CONCLUSION: This meta-analysis identified risk factors for postoperational VTE in patients with brain tumor, which can serve as a theoretical foundation for medical staff to manage and treat VTE | ||
520 | |a TRIAL REGISTRATION: CRD42023357459 | ||
650 | 4 | |a Meta-Analysis | |
650 | 4 | |a Journal Article | |
650 | 4 | |a Brain tumor | |
650 | 4 | |a Craniotomy | |
650 | 4 | |a Meta-analysis | |
650 | 4 | |a Risk factors | |
650 | 4 | |a Venous thromboembolism | |
700 | 1 | |a Lu, Guangyu |e verfasserin |4 aut | |
700 | 1 | |a Yuan, Jing |e verfasserin |4 aut | |
700 | 1 | |a Ding, Jiali |e verfasserin |4 aut | |
700 | 1 | |a Chen, Juan |e verfasserin |4 aut | |
700 | 1 | |a Gao, Xianru |e verfasserin |4 aut | |
700 | 1 | |a Huang, Yujia |e verfasserin |4 aut | |
700 | 1 | |a Shi, Tian |e verfasserin |4 aut | |
700 | 1 | |a Yu, Hailong |e verfasserin |4 aut | |
700 | 1 | |a Ni, Hongbin |e verfasserin |4 aut | |
700 | 1 | |a Li, Yuping |e verfasserin |4 aut | |
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