Key result
Hypertension significantly increased the risk of postoperative ileus after orthopedic surgery (OR 7.042), along with advanced age and lower extremity surgery.
Why the study?
To examine the risk factors for postoperative ileus encountered after orthopedic surgery.
Case-Control (n=53)
No
Odds Ratio: 7.042 (95% CI 2.017–24.589)
Absolute Event Rate: 76.5% vs 31.6%
p-value: p=0.002
Advanced age and hypertension are significant risk factors for postoperative ileus following orthopedic surgery, particularly lower extremity procedures.
May inform ileus risk stratification in older hypertensive orthopedic patients; leaves open prospective validation before practice change.
Aim: To examine the risk factors for Post operative ileus encountered after orthopedic surgery. Material and Methods: A total of 53 patients who were operated on by the orthopedics clinics who were consulted to the general surgery department during the postoperative period. Considering the etiology of the consultation, the patients were divided into 2 groups as ileus (n: 34) and non-ileus (n: 19). Results: The median age of the patients in the ileus group was 75.5 (26-95). While hypertension (HT) was the most common comorbid disease in patients in the ileus group, (p=.001). While combined anesthesia was frequently preferred in the ileus group, (p=.022). Lower extremity surgeries were performed more frequently in the ileus group (p=.007). The length of hospital stay was found to be higher in the ileus group, (p=.040). In terms of complications according to the clavien dindo classification, grade 3b was more common in the ileus group, (p=.039). As a result of the binary regression analysis performed to determine the risk factors for ileus; age (odss ratio (OR) ) = 1.034,; 95% CI (1.004-1.065); p=.027), day 5 consultation ( (OR) = 0.073; 95% CI (0.014-0.368); p=.002), and HT ( (OR) = 7.042; 95% CI (2.017-24.589); p=.002). Conclusion: Patients with geriatric and HT should also be prepared for ileus if lower extremity surgery is to be performed.
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Erkent et al. (2022) conducted a case-control in Postoperative ileus after orthopedic surgery (n=53). Hypertension vs. No hypertension was evaluated on Risk of postoperative ileus (OR 7.042, 95% CI 2.017-24.589, p=0.002). Hypertension significantly increased the risk of postoperative ileus after orthopedic surgery (OR 7.042), along with advanced age and lower extremity surgery.
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