FRIDAY, December 9, 2022 (HealthDay News) — According to a study published in the November/December issue of the Journal of Wound, Stoma, and Continence, there is a high utilization of health care care in the 120 days following abdominal ostomy surgery.
Laura L. Schott, Ph.D., of Premier Inc. in Charlotte, North Carolina, and colleagues used the PINC AI Healthcare Database to identify patients undergoing abdominal stoma surgery (December 1, 2017 to November 30, 2018 ). The analysis included 15,512 patients with colostomy, 10,207 with ileostomy and 1,930 with urostomy.
The researchers found that the median length of stay was nine days, but varied depending on the ostomy surgery. The most common underlying diagnoses leading to ostomy surgery were diverticulitis of the colon (19.6 percent) treated by colostomy, colorectal cancer treated by ileostomy (22.5 percent), or urothelial cancer treated by urostomy (78.1 percent). At discharge, 43.0 percent of patients went home with home care and 29.6 percent were discharged to a non-acute care facility. Readmissions to hospital within 120 days of discharge were high (36.3 percent in colostomy patients, 52.3 percent in ileostomy patients, and 34.6 percent in urostomy patients). Ostomy complications were identified as the reason for readmission in nearly two-thirds of patients (62.4 percent). Within 120 days, one in five patients (20.7 percent) had a follow-up emergency room visit, of which 39.7 percent involved an ostomy complication.
“Our analysis of real-world, nationwide data shows that urgent efforts are needed to improve outcomes for patients undergoing abdominal stoma surgery, including patient-centered care and better access to wound, stoma and ostomy services – and continence nurses or specialists in ostomy care. ‘ Schott said in a statement.
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