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The incidence and risk factors for post-operative ileus after spinal fusion surgery: a multivariate analysis

Purpose Post-operative ileus is a recognized complication of surgery. Little is known about the incidence and risk factors for post-operative ileus following spinal fusion surgery. To report the incidence and to assess for independent risk factors of post-operative ileus after spinal fusion surgery....

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Bibliographic Details
Published in:International orthopaedics 2016-06, Vol.40 (6), p.1067-1074
Main Authors: Kiely, Paul D., Mount, Lauren E., Du, Jerry Y., Nguyen, Joseph T., Weitzman, Gil, Memstoudis, Stavros, Waldman, Seth A., Lebl, Darren R.
Format: Article
Language:English
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Summary:Purpose Post-operative ileus is a recognized complication of surgery. Little is known about the incidence and risk factors for post-operative ileus following spinal fusion surgery. To report the incidence and to assess for independent risk factors of post-operative ileus after spinal fusion surgery. Methods Retrospective single-centre cohort study. Patients with prolonged or recurrent post-operative ileus were identified by review of hospital stay documentation. Patients with post-operative ileus were matched 1:2 to a control cohort without post-operative ileus. Uni and multi variate analyses were performed on demographic, comorbidity, surgical indication, medication, and peri-operative details to identify risk factors for post-operative ileus. Results Two thousand six hundred and twenty five patients underwent spinal fusion surgery between January 2012 and December 2012. Forty nine patients with post-operative ileus were identified (1.9 %). Post-operative length of hospital stay was significantly longer for patients with post-operative ileus (9.3 ± 5.2 days), than control patients (5.5 ± 3.2 days) (p 
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-016-3148-9