The incidence of stomal and peristomal complications: preliminary results three months after stoma creation.

Background The creation of an intestinal and/or urinary ostomy is often associated with a wide variety of complications, whose incidence and risk factors reported in the literature are often discordant. Aims A prospective longitudinal repeated-measures observational study was conducted aimed at inve...

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Publicado en:World Council of Enterostomal Therapists Journal Vol. 44; no. 4; pp. 13 - 24
Autores principales: Chirco, Giorgia, Antonini, Mario, Cioppa, Tommaso
Formato: glossary research tables/charts Journal Article
Publicado: Cambridge Publishing Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
      vid: 44
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        atl: The incidence of stomal and peristomal complications: preliminary results three months after stoma creation.
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          Chirco, Giorgia
          Antonini, Mario
          Cioppa, Tommaso
        affil: Nurse, Don Carlo Gnocchi Foundation, Florence, Italy
      sug:
        subj:
          Ostomy Adverse Effects
          Risk Assessment
          Postoperative Complications
          Human
          Prospective Studies
          Nonexperimental Studies
          After Care
          Surveys
          Postoperative Period
          Ostomy Classification
          Italy
          Descriptive Statistics
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Rehabilitation Centers
          Data Analysis Software
          Dermatitis, Contact Risk Factors
          Edema Risk Factors
          Hernia Risk Factors
          Skin Diseases Risk Factors
          Wounds and Injuries Risk Factors
          Inferential Statistics
          Comorbidity
          Clinical Assessment Tools
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background The creation of an intestinal and/or urinary ostomy is often associated with a wide variety of complications, whose incidence and risk factors reported in the literature are often discordant. Aims A prospective longitudinal repeated-measures observational study was conducted aimed at investigating the incidence of complex stomal complications and ascertaining the determinants of their occurrence. The ultimate goal is to improve the available data for the development of new knowledge in this area. Methods A total of 181 adult subjects were recruited and followed for a period of three months at set intervals (T0 to T5), surveying the occurrence of any complications. Fisher's Test and Chi-square Test were used to study the relationship between the various variables and the occurrence of complications. Results Complications occur most frequently in the immediate postoperative period (iT0= 54.14%). The incidence rate of stomal and peristomal complications demonstrated a different distribution in the various follow-ups. Complications show a different character depending on the type of ostomy, with a higher incidence in intestinal ostomies; they also appear to be statistically correlated with the presence of general preoperative comorbidities. Conclusions The purpose of this study was to implement the available data regarding complex stomal complications for the future development of new knowledge through two objectives: 1) to determine the incidence of complex stomal complications in new ostomate patients residing in the Empolese-Val d'Elsa and Lower Valdarno area of Italy, 2) to verify what the factors determining the occurrence of these complications are.
      pubtype: Academic Journal
      doctype:
        glossary
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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