Evidence map›Paper›PMID 37129361›Full record

ArticleGlobal spine journal2024

Risk Factors for Postoperative Ileus Following Spine Surgery: A Systematic Review With Meta-Analysis.

Yu Chang, Chia-En Wong, Wei-Cheng Chen, Hao-Hsiang Hsu, Po-Hsuan Lee, Chi-Chen Huang, Jung-Shun Lee

Open access · goldAbstract read
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Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Yu ChangSection of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital; College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chia-En WongSection of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital; College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Wei-Cheng ChenDepartment of Orthopedics, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan; Taiwan Institute of Basic Medical Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Hao-Hsiang HsuSection of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital; College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Po-Hsuan LeeSection of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital; College of Medicine, National Cheng Kung University, Tainan, Taiwan.ORCID 0000-0003-4034-9234
Chi-Chen HuangSection of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital; College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Jung-Shun LeeSection of Neurosurgery, Department of Surgery, National Cheng Kung University Hospital; College of Medicine, National Cheng Kung University, Tainan, Taiwan.ORCID 0000-0003-4268-2161
National Cheng Kung University Hospital · TWTaipei Medical University-Shuang Ho Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic review and meta-analysis.

objectivesPostoperative ileus (POI) can negatively impact patient recovery and surgical outcomes after spine surgery. Emerging studies have focused on the risk factors for POI after spine surgery. This study aimed to review the available literature on risk factors associated with POI following elective spine surgery.

methodsElectronic databases were searched to identify relevant studies. Meta-analysis was performed using random-effect model. Risk factors for POI were summarized using pooled odds ratio (OR) with 95% confidence intervals (CI).

resultsTwelve studies were included in the present review. Meta-analysis demonstrated males exhibited a higher risk of POI than females odds ratio (OR, 1.76; 95% CI, 1.54-2.01). Patients with anemia had a higher risk of POI than those without anemia (OR, 1.48; 95% CI, 1.04-2.11). Patients with liver disease (OR, 3.3; 95% CI, 1.2-9.08) had a higher risk of POI. The presence of perioperative fluid and electrolyte imbalances was a predictor of POI (OR, 3.24; 95% CI, 2.62-4.02). Spine surgery involving more than 3 levels had a higher risk of POI compared to that with 1-2 levels (OR, 1.82; 95% CI, 1.03-3.23).

conclusionsMale sex and the presence of anemia and liver disease were significant patient factors associated with POI. Perioperative fluid and electrolyte imbalance and multilevel spine surgery significantly increased the risk of POI. In addition, through this comprehensive review, we identified several perioperative risk factors associated with the development of POI after spine surgery.

Indexed as

anemialiver diseasepostoperative ileusrisk factorspine surgery

Identifiers

PMID37129361
PMCPMC10802551
OpenAlexW4367669406

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.