Description

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)


To read more or access our algorithms and calculators, please log in or register.