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

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

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)954-957
Number of pages4
JournalAmerican Journal of Surgery
Volume211
Issue number5
DOIs
StatePublished - May 1 2016
Externally publishedYes

Keywords

  • Colostomy
  • Ileostomy
  • Length of stay
  • Ostomy
  • Ostomy teaching

ASJC Scopus subject areas

  • Surgery

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