TY - JOUR
T1 - Incidence Rates and Predictors of Stomal-Related Complications
T2 - A 1-Year Prospective Study
AU - Hsu, Mei Yu
AU - Hsu, Hsiao Hui
AU - Wu, Yu Lin
N1 - Funding Information:
Hualien Tzuchi Chi Hospital, Buddhist Tzu Chi Medical Foundation (no. TCRD103-63).
Publisher Copyright:
© 2022, HMP Global. All rights reserved.
PY - 2022/1
Y1 - 2022/1
N2 - BACKGROUND: Stomal-related complications (SRCs) increase the health care burden and impair quality of life. PURPOSE: To determine the incidence rates and predictors of stomal and peristomal complications (SCs and PCs, respectively). METHODS: This was a prospective cohort study. In total, 215 patients who had undergone ostomy were enrolled and followed-up at 3, 30, 90, 180, and 360 days after surgery. During the follow-up period, SRCs were assessed by 1 colorectal surgeon and 2 wound, ostomy, and continence nurses. The SRCs were classified into SCs and PCs. RESULTS: SRCs were observed in 105 patients (48.8%). The 105 patients had 145 SRCs (66 [45.5%] SCs and 79 [54.5%] PCs). A logistic regression analysis revealed that emergency surgery (odds ratio [OR]: 2.78; P =.041), laparoscopic surgery (OR: 2.91; P =.023), and inappropriate stomal location (OR: 19.23; P <.001) were significant predictors of SCs. Inappropriate stomal location also was significantly associated with PCs (OR: 7.70; P <.001). The cumulative incidence rate of SRCs was 73% in patients who underwent stomal surgery and were followed for 360 days. CONCLUSIONS: Stomas created through emergency or laparoscopic surgery and those created at inappropriate sites were associated with a higher risk of SCs. Inappropriate stomal site was found to be a significant predictor for SCs and PCs. uplicate.
AB - BACKGROUND: Stomal-related complications (SRCs) increase the health care burden and impair quality of life. PURPOSE: To determine the incidence rates and predictors of stomal and peristomal complications (SCs and PCs, respectively). METHODS: This was a prospective cohort study. In total, 215 patients who had undergone ostomy were enrolled and followed-up at 3, 30, 90, 180, and 360 days after surgery. During the follow-up period, SRCs were assessed by 1 colorectal surgeon and 2 wound, ostomy, and continence nurses. The SRCs were classified into SCs and PCs. RESULTS: SRCs were observed in 105 patients (48.8%). The 105 patients had 145 SRCs (66 [45.5%] SCs and 79 [54.5%] PCs). A logistic regression analysis revealed that emergency surgery (odds ratio [OR]: 2.78; P =.041), laparoscopic surgery (OR: 2.91; P =.023), and inappropriate stomal location (OR: 19.23; P <.001) were significant predictors of SCs. Inappropriate stomal location also was significantly associated with PCs (OR: 7.70; P <.001). The cumulative incidence rate of SRCs was 73% in patients who underwent stomal surgery and were followed for 360 days. CONCLUSIONS: Stomas created through emergency or laparoscopic surgery and those created at inappropriate sites were associated with a higher risk of SCs. Inappropriate stomal site was found to be a significant predictor for SCs and PCs. uplicate.
KW - Incidence rate
KW - Peristomal complication
KW - Peristomal moisture-associated skin damage
KW - Risk factors
KW - Stoma site
KW - Stomal-related complication
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U2 - 10.25270/wmp.2022.1.3443
DO - 10.25270/wmp.2022.1.3443
M3 - Article
C2 - 35263276
AN - SCOPUS:85126080618
SN - 2640-5237
VL - 68
SP - 34
EP - 43
JO - Wound Management and Prevention
JF - Wound Management and Prevention
IS - 1
ER -