How to dramatically reduce dehydration-related readmission in patients undergoing restorative surgery with diverting ileostomy for ulcerative colitis. in Techniques in coloproctology / Tech Coloproctol. 2024 Sep 22;28(1):129. doi: 10.1007/s10151-024-03001-6.
2024
ASL Asti
Tipo pubblicazione
Journal Article
Autori/Collaboratori (7)Vedi tutti...
Mineccia M
Department of Chirurgia Generale E Oncologica, Ospedale Mauriziano Umberto I, Largo Turati 62, 10100, Turin, Italy. mmineccia@mauriziano.it.
Valenti A
Department of Chirurgia Generale E Oncologica, Ospedale Mauriziano Umberto I, Largo Turati 62, 10100, Turin, Italy.
Massucco P
Department of Chirurgia Generale E Oncologica, Ospedale Mauriziano Umberto I, Largo Turati 62, 10100, Turin, Italy.
et alii...
Abstract
BACKGROUND: Patients affected by ulcerative colitis (UC) often require surgery, involving two or three-stage procedures, including ileostomy creation. While ileostomy has some advantages, it can lead to complications, such as dehydration. The aim of this study was to evaluate the impact of a new individualized stoma-therapeutic-care-pathway (STCP) on dehydration-related readmissions. Secondary endpoints were stoma-related complications. METHODS: The study compares two series of consecutive patients with UC undergoing diverting ileostomy during restorative ileo-pouch-anal-anastomosis. The STCP group consists of patients enrolled from January 2020 to December 2021 who followed the pathway. The older group was selected from 2015 to 2017 (control group). Clinical data were collected, including patient characteristics, hospital stay, complications, and readmissions. The study was approved by the local institutional review board. RESULTS: Overall, 30-day dehydration-related readmission occurred in one (1.4%) versus nine (15.3%) patients in the STCP group versus control group, respectively (p?=?0.005). In-hospital peristomal skin complications were significantly lower in STCP group (6 patients, 8.5%) versus control (35, 59.3%), as well as ostomy complications that occurred in 5 (7%) patients in the STCP group versus 8 (13.5%) in the control group (both p?
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PMID : 39306805
DOI : 10.1007/s10151-024-03001-6
Keywords
Humans; Patient Readmission/statistics & numerical data; Colitis, Ulcerative/surgery/complications; Ileostomy/adverse effects/methods; Dehydration/etiology; Female; Male; Middle Aged; Adult; Postoperative Complications/etiology; Proctocolectomy, Restorative/adverse effects/methods; Retrospective Studies; Aged; Dehydration; Ileostomy; Readmission; Stomatherapeutic pathway; Ulcerative Colitis;