Neuroanesthesia & neurocritical care

Validity of the I‑FEED classification in assessing postoperative gastrointestinal impairment in patients undergoing elective lumbar spinal surgery with general anesthesia: a prospective observational study

Perioper Med (Lond)Published Prospective observational study

Authors' conclusion

This study contributes preliminary validity evidence for the I-FEED score as a measure for postoperative gastrointestinal impairment after elective lumbar spine surgery.

Study context

Population
Adults undergoing elective lumbar spine surgery with GA
Participants
156 adults
Exposure
I-FEED categories: normal vs postoperative gastrointestinal intolerance (POGI) vs postoperative gastrointestinal dysfunction (POGD)
Outcome
Construct validity of I-FEED category vs LOS, inhospital medical cost, postoperative gastrointestinal medical treatment and non-gastrointestinal complications
Follow-up
4 days after surgery
Methodological detailsconstruct validity hypothesis testing
  • Construct validity hypothesis testing

Main finding

As reported in the abstract

Distribution of I-FEED categories

Observational data: associations, not effects.

Further findings

Rectal laxatives required — POGD vs Normal

P = 0.026

OutcomeEstimateP value
LOSPOGD vs Normal · significantly longermedian difference 1 dayP = 0.049
Inhospital medical costPOGD vs Normal · approximatelydifference 500 Taiwanese dollarsP = 0.037

Safety

Non-gastrointestinal complications — POGD vs Normal

P = 0.034

Original publication

Validity of the I‑FEED classification in assessing postoperative gastrointestinal impairment in patients undergoing elective lumbar spinal surgery with general anesthesia: a prospective observational study. Perioper Med (Lond). Published 3 June 2024. doi:10.1186/s13741-024-00409-4

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