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Analysis of risk factors for postoperative gastrointestinal disorders in patients undergoing thoracolumbar fusion – Lumbar Fusion

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A study published in Zhonghua Yi Xue Za Zhi analyzed the risk factors for postoperative gastrointestinal disorders (POGD) in patients who underwent thoracolumbar fusion surgery. The retrospective study included 434 patients and divided them into a POGD group (n=70) and a non-POGD group (n=364). The study found significant differences between the two groups in operation duration, blood loss, intraoperative spinal decompression, intraoperative hypotension, white blood cell count 24 hours postoperatively, C-reactive protein 24 hours postoperatively, and postoperative hospitalization days. Binary logistic regression analysis identified intraoperative decompression, blood loss≥10.9 ml/kg, white blood cell count 24 hours postoperatively≥15.2×10^9/L, and intraoperative hypotension as risk factors for POGD. The use of dexamethasone was found to be a protective factor. The findings suggest that certain factors can increase the risk of POGD after thoracolumbar fusion surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

Objective: To analyze the risk factors for patients’ postoperative gastrointestinal disorders (POGD) after surgery of thoracolumbar fusion. Methods: This retrospective study was based on clinical data of 434 patients who underwent thoracolumbar fusion from January 2021 to December 2021 in Nanjing Drum Tower Hospital.According to the occurrence of POGD, the patients were divided into POGD group(n=70) and non-POGD group(n=364). The clinical data of the two groups were compared, and the risk…

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Zhonghua Yi Xue Za Zhi. 2024 Jan 16;104(3):186-191. doi: 10.3760/cma.j.cn112137-20230906-00402.ABSTRACTObjective: To analyze the risk factors for patients’ postoperative gastrointestinal disorders (POGD) after surgery of thoracolumbar fusion. Methods: This retrospective study was based on clinical data of 434 patients who underwent thoracolumbar fusion from January 2021 to December 2021 in Nanjing Drum Tower Hospital.According to the,

Zhonghua Yi Xue Za Zhi. 2024 Jan 16;104(3):186-191. doi: 10.3760/cma.j.cn112137-20230906-00402.

ABSTRACT

Objective: To analyze the risk factors for patients’ postoperative gastrointestinal disorders (POGD) after surgery of thoracolumbar fusion. Methods: This retrospective study was based on clinical data of 434 patients who underwent thoracolumbar fusion from January 2021 to December 2021 in Nanjing Drum Tower Hospital.According to the occurrence of POGD, the patients were divided into POGD group(n=70) and non-POGD group(n=364). The clinical data of the two groups were compared, and the risk factors of POGD were discussed by binary logistic regression. Results: There were 23 males and 47 females in POGD group, with an average age of (60±6) years, and 133 males and 231 females in the non-POGD group, with an average age of (62±7) years. There were significant differences in operation duration, blood loss, intraoperative spinal decompression, intraoperative hypotension, white blood cell count 24 h postoperatively, C-reactive protein 24 h postoperatively, and postoperative hospitalization days between the two groups (P<0.05). Binary logistic regression analysis showed that intraoperative decompression (OR=2.368, 95%CI: 1.365-4.106, P=0.002), blood loss≥10.9 ml/kg (OR=2.115, 95%CI: 1.166-3.835, P=0.014), white blood cell count 24 h postoperatively≥15.2×109/L (OR=3.580, 95%CI: 1.773-7.226, P<0.001), and intraoperative hypotension (OR=2.019, 95%CI: 1.080-3.773, P=0.028) were risk factors for POGD in patients after thoracolumbar fusion. Use of dexamethasone was a protective factor (OR=0.408, 95%CI:0.218-0.762, P=0.005). : Intraoperative decompression, blood loss≥10.9 ml/kg, white blood cell count 24 h postoperatively≥15.2×109/L and intraoperative hypotension are risk factors for POGD after thoracolumbar fusion, and dexamethasone is a protective factor.

PMID:38220443 | DOI:10.3760/cma.j.cn112137-20230906-00402

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Analysis of risk factors for postoperative gastrointestinal disorders in patients undergoing thoracolumbar fusion

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Zhonghua Yi Xue Za Zhi. 2024 Jan 16;104(3):186-191. doi: 10.3760/cma.j.cn112137-20230906-00402.ABSTRACTObjective: To analyze the risk factors for patients' postoperative gastrointestinal disorders (POGD) after surgery of thoracolumbar fusion. Methods: This retrospective study was based on clinical data of 434 patients who underwent thoracolumbar fusion from January 2021 to December 2021 in Nanjing Drum Tower Hospital.According to the
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