Ostomy - Ileostomy or Colostomy
Conditions
Brief summary
The purpose of this study is to reduce complications like peristomal skin issues, stoma-related problems, dehydration, and other preventable factors that can lead to re-hospitalization within the first 30 days after surgery.
Interventions
OTHERPreoperative Telehealth
Conduct a preoperative telehealth consultation with a Certified Wound, Ostomy, and Continence Nurse (WOCN) to provide patient education on post-surgical care expectations.
OTHERMeasure Ostomy Output
Patients will be sent home with a measuring container (graduated container) and will measure their ostomy output every 12 hours and record it in a pad that will be provided to them.
Sponsors
Cedars-Sinai Medical Center
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Elective operations involving an ileostomy or a colostomy * Individuals 18 years old or older are included
Exclusion criteria
* Individuals under age 18 * Pregnant patients * Emergency operations * Patients with existing pre operative ostomies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Readmission to hospital within 30 Days of Surgery | 30 Days Post Surgery | The proportion of participants who are readmitted to the hospital within 30 days following surgery. Readmissions will be evaluated for any reason, including complications, adverse events, or recovery issues that necessitate hospitalization after the initial surgical procedure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital Length of Stay | From index surgery to discharge (up to 30 days postoperatively) | Total duration of hospitalization from the time of the index surgery until discharge. |
| Incidence of Acute Kidney Injury (AKI) | From index surgery through 30 days postoperatively | Number of participants who develop AKI, defined as an increase in serum creatinine of ≥0.3 mg/dL from baseline, during index admission or upon 30-day readmission. |
| Incidence of Peristomal Skin Complications | From index surgery through 30 days postoperatively | Number of participants who develop peristomal skin problems (e.g., irritation, excoriation, or dermatitis) during the index admission or within 30 days postoperatively. |
| Incidence of Stoma-Related Leakage | From index surgery through 30 days postoperatively | Number of participants who experience unintended escape of stoma output (leakage) during index admission or within 30 days postoperatively. |
Countries
United States
Contacts
Primary ContactYosef Nasseri, MD
Outcome results
None listed