ArticleHSS journal : the musculoskeletal journal of Hospital for Special Surgery2020
Incidence and Risk of Severe Ileus After Orthopedic Surgery: A Case-Control Study.
Article in HSS journal : the musculoskeletal journal of Hospital for Special Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- The Effects of Gum Chewing in the Postoperative-Period: A Systematic Review and Meta-Analysis.ANZ journal of surgeryPooled it
- The effect of abdominal massage applied after surgery on gastrointestinal symptoms and comfort level.Perioperative medicine (London, England) · 2025Article
- Incidence and clinical predictors of postoperative ileus following non-abdominal surgery in Ethiopia: a prospective cohort study.Langenbeck's archives of surgery · 2025Article
- Effect of Bilateral Erector Spinae Plane Block on the Gastrointestinal Function in Patients Undergoing Traumatic Lumbar Spine Fracture surgery: A Retrospective Study.Journal of pain research · 2025Article
- Complications of Venous Thromboembolism Chemoprophylaxis in Lumbar Laminectomy With and Without Fusion.International journal of spine surgery · 2024Article
- Bowel dysfunction after elective spinal surgery: etiology, diagnostics and management based on the medical literature and experience in a university hospital.Der Orthopade · 2021Review
- Postoperative ileus and gastrointestinal complications following spine surgery: A systematic review of incidence, risk factors, prevention, and treatment.Journal of craniovertebral junction & spineReview
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPost-operative ileus (POI) is common and can be associated with significant morbidity. QUESTIONS/PURPOSES: We aimed to identify the incidence of and risk factors associated with severe post-operative ileus (SPOI) after elective orthopedic surgery.
methodsWe conducted a retrospective case-control study of patients undergoing elective orthopedic procedures at a single musculoskeletal specialty hospital. SPOI cases matched 1:2 to non-POI controls. International Classification of Diseases, Ninth Revision (ICD-9), codes were used to identify patients who were coded as having an episode of POI. After chart review, a subset was classified as clinical SPOI cases, based on set criteria. Regression models were constructed to identify variables associated with SPOI.
resultsOf 273 POI cases, 77 (28.2%) were classified as SPOI. Overall rates of SPOI were 2.74/1000 orthopedic discharges, with SPOI most common in spine surgeries (9.07/1000 spine procedure discharges). Hypothesis-generating multivariable conditional logistic regression suggested that, for hip and knee cases, not being on a full diet by post-operative day (POD) 2 posed an increased risk of SPOI. For spine cases, not being on a full diet on POD 2 and longer surgery times were associated with risk of SPOI.
conclusionsIn this retrospective case-control study, patients undergoing elective orthopedic procedures who had not progressed to full diet by POD 2 and spine patients with longer operative times were most at risk for SPOI. These data can be used clinically by peri-operative physicians to stratify patients according to risk.
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