Article: Expedited discharge and risk of readmission after ostomy construction
Year Published: February 2025
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Discuss the research question or main problem discussed in the study?
ReplyDeleteThis study aimed to evaluate the association between hospital readmissions after the surgical placement of a new ostomy, and the initial postoperative length of stay. With new medical advances, many patients discharge from the hospital within 2 days of ostomy placement. This shortened postoperative period could potentially lead to readmissions due to lack of support and education related to the care and maintenance of the patient’s new ostomy. The hypothesis is that patients with expedited discharge would inevitably have an increase in readmission rates during the first 30 day period with their new ostomy. There was an additional hypothesis that certain comorbidities/procedure types would be most associated with these expedited discharges analyzed.
Describe the method used by the author of the study
This study utilized a retrospective review to identify patients who received an ileostomy or colostomy via the 2019-2020 nation American College of Surgeons NAtional Safety and Quality Improvement Project. The study only included patients who were over 18 years of age, discharged directly to home, and have postoperative stays between 1-5 days. This study went through the proper IRB channels utilizing a waiver of informed consent. The variables of interest were patient postoperative lengths of study, and the outcome of interest was postoperative readmission within 30 days. Additional variables noted were patient demographics, comorbidities, and type of ostomy surgery. There was a bivariate analysis comparing the patients who had expeditied discharges vs those with nonexpeditied discharges – this led to a multivariable logistic regression model due to the additional factors previously mentioned.