Exploring the Impact of a Structured Educational Approach on Peristomal Skin Complications: An Interim Analysis
Francesco Carlo Denti1, Eliana Guerra2, Francesca Caroppo3
1Stomacare Service, IRCCS San Raffaele Institute, 20132 Milan, Italy.
Healthcare (Basel, Switzerland)
|September 28, 2024
Summary
The Dermamecum protocol effectively reduces peristomal skin complications (PSCs) in ostomy patients by stratifying care. This tailored approach significantly lowers PSC rates compared to literature, highlighting its clinical value.
Area of Science:
- Wound Care and Ostomy Management
- Patient Stratification and Risk Assessment
- Clinical Protocol Effectiveness
Background:
- Peristomal skin complications (PSCs) are common in ostomy patients, impacting quality of life.
- Existing care protocols often lack tailored approaches for varying patient risk levels.
- The Dermamecum protocol introduces a risk-stratified educational and care pathway.
Purpose of the Study:
- To evaluate the effectiveness of the Dermamecum protocol in reducing PSCs.
- To assess the impact of risk stratification on patient outcomes.
- To identify predictors of PSCs within different risk pathways.
Main Methods:
- Stratification of 226 ostomy patients into green (low), yellow (moderate), and red (high) risk paths.
- Interim analysis using Poisson regression and multiple correspondence analysis.
- Data collection on pre-operative and post-operative characteristics and PSC occurrence.
Main Results:
- Overall PSC occurrence rate of 5.9%, significantly lower than the literature median of 35%.
- PSC rates were 5.7% (green), 4.7% (yellow), and 7.9% (red), with no significant difference between paths (p=0.685).
- Male gender identified as a significant predictor for PSCs.
Conclusions:
- The Dermamecum protocol demonstrates significant efficacy in reducing early PSCs.
- Risk stratification effectively categorizes patients, guiding tailored interventions.
- Further research into gender-specific interventions for PSC prevention is warranted.
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