ePoster
Presentation Description
Institution: Cairns Hospital - QLD, Australia
Purpose: Stoma formation after colorectal surgery frequently delays discharge, raising infection risks, increasing healthcare costs, and limiting hospital capacity. Enhanced Recovery After Surgery (ERAS) protocols encourage early stoma education to address these issues. While preoperative education is beneficial, factors causing discharge delays related to stoma education are not well understood. This retrospective study examines these factors to enhance patient recovery and discharge efficiency.
Method: A retrospective review was conducted on patients who underwent colorectal resection with stoma formation at a tertiary institution between 2019 and 2023. The study’s primary objective was to identify factors contributing to stoma-related discharge delays, while the secondary objective assessed the financial impact of these delays.
Results: Of 187 patients who underwent colorectal resection with stoma formation, 31 experienced discharge delays linked to stoma education, with an average delay of 2.8 days (95% CI 1.4–4.2 days). The primary reason for delay was the unavailability of ostomy education on weekends, affecting 21 patients (64.5%). Other contributing factors included patient-related challenges (e.g., slow learning or low engagement), suboptimal stoma positioning (e.g., leakage due to placement near an abdominal crease or difficulty accessing the stoma due to obesity), and delays in stoma appliance availability. These delays incurred additional healthcare costs estimated at $406,224 over five years.
Conclusion: The lack of weekend stoma education was identified as the main cause of delayed discharge, highlighting the need for additional funding to provide this essential service and improve patient outcomes.
Presenters
Authors
Authors
Dr Sophia Bee Ting Tan - , Dr Clemeng Ying Kiu Fung - , Dr Ju Yong Cheong - , Dr Heng-Chin Chiam - , Dr Boris Ruggiero - , Dr Maseelan Naidoo -