Investigating colostomy-related morbidity in children following stoma formation and closure in a tertiary hospital, Abha, Saudi Arabia: a retrospective cohort study 2024.

Autor: Alghamdi HA; General and Pediatric surgery, Abha maternity and children hospital, Abha, Saudi Arabia., Alqahtani MSM; Faculty of Medicine, King Khalid University, Abha, Saudi Arabia., Asiri HMM; Faculty of Medicine, King Khalid University, Abha, Saudi Arabia., Abudasir AMM; Faculty of Medicine, King Khalid University, Abha, Saudi Arabia., Alshahrani KTS; Faculty of Medicine, King Khalid University, Abha, Saudi Arabia., Alamer RA; Faculty of Medicine, King Khalid University, Abha, Saudi Arabia., Alshahrani AAS; Faculty of Medicine, King Khalid University, Abha, Saudi Arabia., Alyahya YAM; Faculty of Medicine, King Khalid University, Abha, Saudi Arabia., Abudasir AM; Faculty of Medicine, King Khalid University, Abha, Saudi Arabia., AlQahtani SJS; Faculty of Medicine, King Khalid University, Abha, Saudi Arabia., Mustafa Ahmed GE; Faculty of Medicine, University of Khartoum, ElQasr Avenue, Khartoum, 11111, Khartoum state, Sudan. nimirghassan@gmail.com.
Jazyk: angličtina
Zdroj: BMC pediatrics [BMC Pediatr] 2024 Oct 03; Vol. 24 (1), pp. 630. Date of Electronic Publication: 2024 Oct 03.
DOI: 10.1186/s12887-024-05089-z
Abstrakt: Background: Overall, stoma-related morbidity affects a reported 20-38% of pediatric patients. However, determining the true incidence of major stoma-related morbidity is challenging due to limited cohort sizes in existing studies. Thus, the aim of this study was to investigate colostomy related morbidity among children both after stoma formation and stoma closure.
Methodology: This is a retrospective cohort hospital-based study, conducted in an Abha maternity and children hospital, between August 1, 2018, and August 1, 2023, among 126 pediatric patients (aged 0-12 years) who underwent colostomy formation and subsequent closure during the study period. Data were collected from medical records. Data was analyzed using Statistical Package for Social Sciences (SPSS) v.26.
Results: This study included a total of 126 children who underwent colostomy. (N = 37, 29.4%) of cases included in this study were emergency cases, while (N = 89, 70.6%) were elective. A variety of antibiotics were used for surgical prophylaxis, metronidazole (77%) and cefuroxime (62.7%) were the most prevalent. Oral feeding was started after 5-6 days in more than one third of cases (39.7%). Wound infection (N = 15, 11.9%) was the most reported post-operative complication, followed with bowel obstruction (N = 6, 4.8%). Emergency cases had a longer duration of hospital stay than elective cases; this difference was statistically significant (P = .04).
Conclusions: Majority of patients reported no stoma related complications, while among those who reported complications, wound infection was the most reported complication, followed by bowel obstruction.
(© 2024. The Author(s).)
Databáze: MEDLINE
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