ArticleClinics in surgery2025
Addressing a common complication after ileostomy creation: a multidisciplinary program to decrease readmission for dehydration.
Article in Clinics in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Risk factors and prediction model for early high-output stoma after colorectal cancer surgery: A retrospective study.Asia-Pacific journal of oncology nursing · 2026Article
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Authors and funding
12 authors.
Funding
Abstract
Objective: To evaluate the impact of a multidisciplinary program on dehydration risk after ileostomy creation. Background: Dehydration after ileostomy creation is a significant complication and the most common reason for readmission. We implemented a multidisciplinary program to address this problem, including improved perioperative education and increasing wound ostomy and continence nurse (WOCN) support. Methods: We queried patients who underwent ileostomy creation from 2010-2019. We evaluated patient characteristics (including sex, age, comorbidities), operative characteristics (including approach, class, duration, estimated blood loss), and perioperative characteristics (including WOCN consultation, antimotility agents, ileostomy output, length of stay [LOS], follow up, and adverse events). Primary outcome was 60-day readmission for dehydration. Univariate and multivariate logistic models were created to identify factors associated with dehydration. Results: Nine hundred and ninety-eight patients underwent ileostomy creation, with a median LOS of 6 days. The readmission rate for dehydration was 5.4% (vs 11.5% previously), with a median time to readmission of 8.5 days. Patients readmitted for dehydration had slightly higher ileostomy output prior to discharge (750 vs 500 mL/24h) and later post-operative follow up (13 vs 11 days). On multivariate analysis, risk factors associated with dehydration were diabetes ( Conclusions: Readmission for dehydration after ileostomy creation has significantly decreased with the implementation of a multidisciplinary program. A potential area of improvement is close follow up within 1 week for high-risk patients to identify and address early signs of dehydration.
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40958971PMC12434592What OpenQuestion holds
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