TY - JOUR
T1 - Stoma creation
T2 - Does onset of ostomy care education delay hospital length of stay?
AU - Rashidi, Laila
AU - Long, Kevin
AU - Hawkins, Melinda
AU - Menon, Raman
AU - Bellevue, Oliver
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/5/1
Y1 - 2016/5/1
N2 - 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.
AB - 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.
KW - Colostomy
KW - Ileostomy
KW - Length of stay
KW - Ostomy
KW - Ostomy teaching
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U2 - 10.1016/j.amjsurg.2016.01.019
DO - 10.1016/j.amjsurg.2016.01.019
M3 - Article
C2 - 27046795
AN - SCOPUS:84961956280
SN - 0002-9610
VL - 211
SP - 954
EP - 957
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 5
ER -