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Review Question - QID 219593

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QID 219593 (Type "219593" in App Search)
A 69-year-old female former smoker (5’5, 179lbs BMI 29.8) with a history of hypertension, COPD, and diabetes (HgbA1C 7.8) returns to the clinic for her first postoperative visit after an L3-L5 posterior lumbar decompression and fusion. Her surgery was complicated by notable blood loss without the need for intraoperative transfusion. On examination, she has purulent drainage with erythema and induration from her lumbar incision site. Which of the following factors likely contributed to this patient's risk of wound complication?