Stoma creation: Does Onset of Ostomy care Education Delay Hospital Length of Stay?

Background Balancing patient safety with hospital length of stay (LOS) and associated cost is critically important. Subjectively, we've observed patients undergoing ostomy creation early in the week have a shorter LOS. Objective We retrospectively reviewed LOS based on day of the week the opera...

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Bibliographic Details
Published in:The American journal of surgery 2016-05, Vol.211 (5), p.954-957
Main Authors: Rashidi, Laila, MD, Long, Kevin, MD, Hawkins, Melinda, MD, Menon, Raman, MD, Bellevue, Oliver, MD
Format: Article
Language:English
Subjects:
Adult
Age
Aged
Aged, 80 and over
Cardiac arrhythmia
Clinical trials
Colectomy - methods
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - surgery
Colostomy
Colostomy - methods
Colostomy - nursing
Cost-Benefit Analysis
Databases, Factual
Female
Hospital Costs
Hospitals
Humans
Ileostomy
Ileostomy - methods
Ileostomy - nursing
Length of stay
Length of Stay - economics
Length of Stay - statistics & numerical data
Male
Medical personnel
Middle Aged
Nursing
Ostomy
Ostomy teaching
Patient Education as Topic - economics
Patient Education as Topic - methods
Patients
Postoperative Care - nursing
Postoperative period
Retrospective Studies
Risk Assessment
Surgery
Surgical Stomas
Surgical techniques
Time Factors
Treatment Outcome
Variables
Young Adult
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Summary:Background Balancing patient safety with hospital length of stay (LOS) and associated cost is critically important. Subjectively, we've observed patients undergoing ostomy creation early in the week have a shorter LOS. Objective We retrospectively reviewed LOS based on day of the week the operation was performed. Results We reviewed 180 patients undergoing minimally invasive surgery with planned ostomy. Group 1 underwent surgery on Monday thru Wednesday(n = 77), Group 2 on Thursday (n = 49), and Group 3 on Friday (n = 54). The average LOS for Group 1, 2 and 3 was 6.2, 4.9 and 7.2 days, respectively. The average number of visits with ostomy nursing for Group 1, 2 and 3 were 2.7, 1.8 and 2.3 visits, respectively. Day of initial ostomy nursing visit was significantly correlated between the delay to initial visit and LOS with Group 3 delayed most. Conclusion Patients with the longest delay to initial nurse visit had the longest LOS, with Friday operations being most delayed. A contributing factor may be absence of ostomy teaching over the weekend.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2016.01.019