Patient‐related factors influence the risk of developing intestinal stoma complications in early post‐operative period

• DOI: 10.1111/ans.13397
• Publication Date: 2015-12-03T07:52:50Z
• Authors: Mohanraj Harilingam; Joseph Sebastian; Charlene Twum‐Barima; Mohamed Boshnaq; Sudhakar Mangam; Amjad Khushal; Deya Marzouk; George Tsavellas
• Keywords: Stoma (medicine)

Few studies have investigated the risk factors associated with developing intestinal stoma complications using appropriate multivariable methods. We aimed to determine prevalence of, and for, stomal complications.A retrospective, case-control methodology was used investigate 12 explanatory variables four outcome in 202 consecutive patients receiving stomas a district general hospital United Kingdom between January 2013 December 2014. Univariable logistic regression were calculate odds ratios (ORs).There 69 (69/202; 34.2%) early post-operative period (median months) total, most common being retraction (30.4%). Performance status (World Health Organization score 1 or more; OR 2.67; 95% confidence intervals (CIs) 1.33-5.33; P = 0.006) body mass index (>30 kg/m2 ; 3.30; CIs 1.61-6.78; 0.001) significantly analysis. Surgery-related factors, such as time of day week operation grade surgeon, not development complications. Thirty-eight (18.8%) died over follow-up period, but mortality related (1.01; 0.48-2.13, 0.98).Patient-related influence complication more than surgery-related factors. Preoperative interventions, planning, vigilance management should be focussed at-risk groups, particularly obese patients.