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International Journal of Colorectal Disease

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01.11.2018 | Original Article

Risk factors for ileus after hip and knee arthroplasty

verfasst von: Antonio Klasan, Fedor Amic, Philipp Dworschak, Goran Madzarac, Thomas Jan Heyse, Thomas Neri

Erschienen in: International Journal of Colorectal Disease | Ausgabe 2/2019

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Abstract

Purpose

Postoperative ileus (POI) is one of the complications that can occur after every surgical procedure including arthroplasty. It can have detrimental consequences for the patient and portrays an economic burden on health care systems. The risk factors for POI after arthroplasty described in the literature are scarce and include hip arthroplasty, male gender and previous abdominal surgery. The purpose of the study was to determine the risk factors for POI after hip and knee arthroplasty.

Methods

A retrospective review of 2760 patients undergoing primary hip and knee arthroplasty was performed. An in-depth analysis of patient history and physical operative and postoperative course was reviewed and statistically analyzed in a univariate and multivariate setting.

Results

Overall incidence of POI was 0.54%. History of myocardial infarction and chronic kidney disease were statistically significant risk factors for developing POI after arthroplasty with values of p = 0.023 and p = 0.004, respectively. Other risk factors included previous abdominal surgery (p < 0.001) and hip arthroplasty (p = 0.026). Age or gender correlations were not observed.

Conclusions

Although postoperative ileus is an uncommon complication after joint arthroplasty, in addition to the known risk factors of male age, hip arthroplasty, and previous abdominal surgery, this study describes two previously unknown risk factors: chronic kidney disease and history of myocardial infarction. Patients with these risk factors should be monitored closely for developing postoperative ileus.

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Titel: Risk factors for ileus after hip and knee arthroplasty
verfasst von: Antonio Klasan
Fedor Amic
Philipp Dworschak
Goran Madzarac
Thomas Jan Heyse
Thomas Neri
Publikationsdatum: 01.11.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: International Journal of Colorectal Disease / Ausgabe 2/2019
Print ISSN: 0179-1958
Elektronische ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-018-3184-6

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Abstract

Purpose

Methods

Results

Conclusions

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