Lee et al reviewed lumbar spinal surgery for predictors of complications. One group of predictors deals with gastrointestinal complications. The authors are from the University of Washington and Harborview Medical Center in Seattle.

Patient selection: age >= 18 years of age


Gastrointestinal complications: ascites, colitis, GI bleeding, ileus, bowel obstruction, pancreatitis, peritonitis


Predictors for gastrointestinal complications from multivariate analysis:

(1) alcohol use (odds ratio 2.0)

(2) cardiac abnormality, non-MI (odds-ratio 2.9)

(3) anemia (odds ratio 3.5)

(4) revision surgery (odds ratio 2.1)


Other factors from univariate analysis:

(1) age >= 40 years

(2) myocardial infarction

(3) hypertension

(4) renal disease

(5) history of bowel obstruction

(6) combined approach

(7) surgical invasiveness (from 0 to 48)

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