Neonatal Disease, Stoma Colostomy, Stoma Ileostomy
Conditions
Keywords
Ostomy, Neonate, Outcomes, Costs
Brief summary
Indications for jejunostomy, ileostomy or colostomy vary in the neonatal population. The most common etiologies are congenital anomalies, such as anorectal malformations, intestinal atresia or Hirschsprung's disease, but also acquired conditions, such as enterocolitis or intestinal perforation. The aim of these stomas is to divert stool in the event of intestinal obstruction or risk of fecal contamination. Depending on the indication and the type of stoma used, the post-operative follow-up, such as resumption of intestinal transit and feeding, secondary closure of the stoma or not, and the duration and cost of hospitalization differ. The aim of this study is to compare these differences in order to extract an optimal management strategy, in the light of what is reported in the international scientific literature.
Detailed description
The investigators gathered the data of patients born between January 2009 and December 2023, who had an ostomy made during the first three months of their life. The investigators then analyzed the patients outcomes ( postoperative complications, length of stay, cost of hospitalization) depending on the etiology of their primary disease.
Interventions
None listed
Sponsors
University Hospital, Clermont-Ferrand
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Minutes to 3 Months
Healthy volunteers
No
Inclusion criteria
* Patients who had a stoma during the first 3 months of life, from January 2009 to December 2023
Exclusion criteria
* Patients who had a stoma after the first 3 months of life, from January 2009 to December 2023 * Patients without a stoma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative medical complications | through study completion, an average of 1 year | infections, sepsis, dehydration, hydroelectrolytic disorders |
| Postoperative surgical complications | through study completion, an average of 1 year | disunion, surgical scar, |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay | through study completion, an average of 1 year | time of hospitalization |
| Hospitalization costs | through study completion, an average of 1 year | costs by department and overall costs |
Other
| Measure | Time frame | Description |
|---|---|---|
| Redo | through study completion, an average of 1 year | Necessity to remake the stoma |
Countries
France
Outcome results
None listed