Stoma creation: does onset of ostomy care education delay hospital length of stay?

Laila Rashidi; Kevin Long; Melinda Hawkins; Raman Menon; Oliver Bellevue

doi:10.1016/j.amjsurg.2016.01.019

Stoma creation: does onset of ostomy care education delay hospital length of stay?

Am J Surg. 2016 May;211(5):954-7. doi: 10.1016/j.amjsurg.2016.01.019. Epub 2016 Mar 10.

Authors

Laila Rashidi¹, Kevin Long¹, Melinda Hawkins², Raman Menon¹, Oliver Bellevue³

Affiliations

¹ Department of Colon and Rectal Surgery, Swedish Colon and Rectal Clinic, 1101 Madison Street, Suite 510, Seattle, WA, 98104, USA.
² Department of Colon and Rectal Surgery, Swedish Colon and Rectal Clinic, 1101 Madison Street, Suite 510, Seattle, WA, 98104, USA. Electronic address: melinda.egan@gmail.com.
³ Department of General Surgery, Swedish General Surgery Residency, Seattle, WA, USA.

PMID: 27046795
DOI: 10.1016/j.amjsurg.2016.01.019

Abstract

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.

Keywords: Colostomy; Ileostomy; Length of stay; Ostomy; Ostomy teaching.

Publication types

Comparative Study

MeSH terms

Adult
Aged
Aged, 80 and over
Colectomy / methods
Colorectal Neoplasms / diagnosis
Colorectal Neoplasms / surgery
Colostomy / methods
Colostomy / nursing
Cost-Benefit Analysis
Databases, Factual
Female
Hospital Costs*
Humans
Ileostomy / methods
Ileostomy / nursing
Length of Stay / economics
Length of Stay / statistics & numerical data*
Male
Middle Aged
Patient Education as Topic / economics
Patient Education as Topic / methods*
Postoperative Care / nursing
Retrospective Studies
Risk Assessment
Surgical Stomas*
Time Factors
Treatment Outcome
Young Adult