Meta-analysis of the incidence of constipation in hospitalized patients with acute myocardial infarction in China
Objective To systematically evaluate the incidence of constipation in hospitalized patients with acute myocardial infarction(AMI)in China,and to provide reference for the management of constipation in hospitalized patients with AMI.Methods The CNKI,Wanfang,VIP,China Biomedical Literature Data-base,PubMed,Cochrane Database,Embase and Web of Science were systematically searched,and the retrieval time was from to February 4,2024.Relevant studies on constipation in hospitalized patients with AMI in Chi-na were selected,and the standard literature quality was evaluated,and the meta-analysis of the rate was car-ried out by STATA17.0 software.Results A total of 34 studies were included,including 3 504 hospitalized patients with AMI and 1 134 patients with constipation.According to meta integration,the incidence of consti-pation in hospitalized patients with AMI in China was 37.4%[95%confidence(95%CI)0.300-0.450].Sub-group analysis showed that the highest rate of constipation was 50.6%(95%CI 0.414-0.598)in 2006-2011,and the lowest rate was 28.8%(95%CI 0.169-0.408)in 2017-2021;the incidence of constipation in traditional Chinese medicine hospitals(39.2%,95%CI 0.271-0.514)was higher than that in general hospi-tals(36.7%,95%CI 0.279-0.456);the incidence of constipation in the hospitalized patients with AMI in the north(42.0%,95%CI 0.313-0.527)was higher than that in the south(35.5%,95%CI 0.266-0.443);The incidence of constipation detected according to the guidelines for diagnosis and treatment of constipation(39.2%,95%CI 0.323-0.461)was higher than that defined by clinical definition(35.9%,95%CI 0.256-0.461).Conclusion The incidence of constipation in hospitalized patients with AMI is high in China.Clinical medical workers can take targeted measures to prevent and manage constipation in patients with AMI in com-bination with clinical practice.