Stoma creation: does onset of ostomy care education delay hospital length of stay?
| Autor: | Laila Rashidi, Kevin C. Long, Melinda Hawkins, Oliver Bellevue, Raman Menon |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Databases Factual Names of the days of the week medicine.medical_treatment Cost-Benefit Analysis Risk Assessment Stoma 03 medical and health sciences Ileostomy Patient safety Young Adult 0302 clinical medicine Patient Education as Topic Thursday Colostomy Medicine Humans Hospital Costs Colectomy Aged Retrospective Studies Aged 80 and over Postoperative Care business.industry Surgical Stomas Retrospective cohort study General Medicine Length of Stay Middle Aged Surgery Treatment Outcome 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female business Colorectal Neoplasms human activities |
| Zdroj: | American journal of surgery. 211(5) |
| ISSN: | 1879-1883 |
| Popis: | Background Balancing patient safety with hospital length of stay (LOS) and associated cost is critically important. Subjectively, we have observed that patients undergoing ostomy creation early in the week have a shorter LOS. Methods 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 to 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 was 2.7, 1.8, and 2.3, respectively. Day of initial ostomy nursing visit was significantly correlated between the delay to initial visit and LOS with Group 3 delayed most. Conclusions 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. |
| Databáze: | OpenAIRE |
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