Related Experiment Video
Updated: Sep 12, 2025
Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
Published on: July 12, 2018
Factors Contributing to Delayed Discharge Related to Stoma Education in Patients Undergoing Colorectal Surgery: A
Sophia Bee Ting Tan1, Clemence Ying Kiu Fung1, Shay Walters2
1Department of General Surgery, Cairns Hospital, Cairns, Queensland, Australia.
Background:
Stoma formation often delays discharge after colorectal surgery, heightening the risk of hospital-acquired infections, financial burdens, and reduced hospital capacity. Enhanced Recovery After Surgery (ERAS) protocols aim to mitigate these issues by emphasizing early stoma management education; however, specific causes for delayed discharge related to stoma education remain underexplored.
Methods:
A retrospective review of patients undergoing colorectal resection with stoma formation at a single tertiary institution between 2019 and 2023 was conducted. The primary objective was to identify factors contributing to delayed discharge related to stoma formation and education. A secondary objective was to assess the financial impact of these delays.
Results:
Among 159 patients who underwent colorectal resection with stoma formation, 31 patients experienced discharge delays with a mean of 2.8 days (95% CI: 1.4-4.2 days). The primary reason for the delay was the lack of ostomy teaching availability on weekends in 21 patients (64.5%), followed by patient-related challenges in three patients (9.6%), suboptimal stoma positioning in two cases, and unavailability of stoma appliances in two cases. The delays incurred an estimated additional cost of $406 224 for 31 patients over 5 years.
Conclusion:
The unavailability of stoma education on weekends is the primary contributor to delayed discharge; underscoring the need for improved access to educational resources to facilitate timely discharge.
More Related Videos
Related Concept Videos
01:24Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:25Endoscopic Procedures II: Colonoscopy
01:23Peripheral Artery Disease V: Postoperative Nursing Management