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. 2024 May-Jun;31(3):164-170.
doi: 10.1097/JTN.0000000000000790. Epub 2024 May 9.

Prevalence and Risk Factors of Constipation in Trauma Patients: A Prospective Cohort Study

Kellie M Liersch  1 , Kellie M Gumm, David J Read
Affiliations

Prevalence and Risk Factors of Constipation in Trauma Patients: A Prospective Cohort Study

Kellie M Liersch et al. J Trauma Nurs. 2024 May-Jun.

Abstract

Background: Hospitalized patients are well described as having a high prevalence of constipation. While the risks associated with constipation in trauma patients are well known, the prevalence rate is not.

Objective: This study aims to measure the prevalence of constipation and associated risk factors in trauma patients.

Methods: This study is a single-center analytic cross-sectional study on constipation in hospitalized trauma patients aged 18-65 years, admitted from January 2021 to July 2021 to the trauma service at The Royal Melbourne Hospital, a Level I major trauma and teaching hospital servicing the state of Victoria, Australia. Exclusion criteria include patients with traumatic brain injury, blunt or penetrating abdominal or spinal injuries, pregnancy, and gastrointestinal comorbidities.

Results: A total of N = 99 patients were studied, of which n = 78 (78.8%) were male with a median (interquartile range) age of 46 years (33-58). The overall prevalence of constipation was 76%. The univariate analysis demonstrated higher constipation rates in males and patients with multisystem injuries. However, in the multivariate analysis, mode of toileting and mobility were not associated with constipation after adjusting for confounding factors.

Conclusion: This study demonstrated a high prevalence of constipation in all trauma patients. There is a strong association between the development of constipation in patients with multisystem injuries when compared to those with single system.

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Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Allen-Dicker J., Goldman J., Shah B. (2015). Inpatient constipation. Journal of Hospital Medicine, 4(1), 51–64. https://doi.org/10.1016/j.ehmc.2014.09.001 - DOI
    1. Australian Trauma Quality Improvement (AusTQIP) Collaboration (2021). Australia New Zealand trauma registry, management of the severely injured, 1 July 2020 to 30 June 2021 . https://atr.org.au/policy
    1. Carroll J., Bennett L., Feng C., Gumm K., Hayes I., Read D. (2023). Acute colonic pseudo-obstruction following spinal fixation for trauma. World Neurosurgery, 177, e254–e258. https://doi.org/10.1016/j.wneu.2023.06.028 - DOI
    1. Celik S., Atar N., Ozturk N., Mendes G., Kuytak F., Bakar E., Dalgiran D., Ergin S. (2015). Constipation risk in patients undergoing abdominal surgery. Iranian Red Crescent Medical Journal, 17(6), e23632. https://doi.org/10.5812/ircmj.23632 - DOI
    1. Chapman S., Hungerford C. (2015). Risk factors for and assessment of constipation. Nursing Older People, 27(3), 16–24. https://doi.org/10.7748/nop.27.3.16.e673 - DOI