Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study

Abstract The aims of this study were to assess the impact of a follow-up nutrition consultation for ostomy patients on the rate of high output stoma (HOS)-related readmissions, as well as on the detection of poor nutritional status and their management, and to determine the associated economic impac...

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Autores principales:	Manuela Moreno Santamaría, José Javier Arenas Villafranca, Jimena Abilés, Francisco Rivas Ruiz, Pilar Utrilla Navarro, Begoña Tortajada Goitia
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a9e78019cff142e591b130339bbf7cd9
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spelling	oai:doaj.org-article:a9e78019cff142e591b130339bbf7cd92021-12-02T17:08:43ZImpact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study10.1038/s41598-021-96136-72045-2322https://doaj.org/article/a9e78019cff142e591b130339bbf7cd92021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96136-7https://doaj.org/toc/2045-2322Abstract The aims of this study were to assess the impact of a follow-up nutrition consultation for ostomy patients on the rate of high output stoma (HOS)-related readmissions, as well as on the detection of poor nutritional status and their management, and to determine the associated economic impact. A single-centre ambispective cohort study was conducted in which all adult patients undergoing intestinal resection and stoma creation were recruited. Two nutrition consultations were established for early follow-up after hospital discharge and patients were prospectively included. Additionally, a retrospective search was carried out to include a control group. In both groups, a 12-month follow-up was conducted to record readmissions associated with high output stoma. A multivariate logistic regression was performed. Statistical significance level was established at p < 0.05. 170 patients were recruited, 85 patients in each cohort. Demographic data and clinical characteristics were recorded. A significant difference was observed in HOS-related readmissions, with readmission rates of 28.6% vs 10.3% in the retrospective and prospective cohort, respectively. At the first follow-up consultation, 50.5% of patients presented some degree of protein-calorie malnutrition. A statistically significant improvement in nutritional status was observed in the second evaluation. The intervention carried out resulted in a total saving of €24,175. Early follow-up of patients after discharge resulted in a significant reduction in the rate of HOS-related readmissions and allowed to identify a high percentage of patients with malnutrition. The cost analysis showed the process to be a cost-effective improvement.Manuela Moreno SantamaríaJosé Javier Arenas VillafrancaJimena AbilésFrancisco Rivas RuizPilar Utrilla NavarroBegoña Tortajada GoitiaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Manuela Moreno Santamaría José Javier Arenas Villafranca Jimena Abilés Francisco Rivas Ruiz Pilar Utrilla Navarro Begoña Tortajada Goitia Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study
description	Abstract The aims of this study were to assess the impact of a follow-up nutrition consultation for ostomy patients on the rate of high output stoma (HOS)-related readmissions, as well as on the detection of poor nutritional status and their management, and to determine the associated economic impact. A single-centre ambispective cohort study was conducted in which all adult patients undergoing intestinal resection and stoma creation were recruited. Two nutrition consultations were established for early follow-up after hospital discharge and patients were prospectively included. Additionally, a retrospective search was carried out to include a control group. In both groups, a 12-month follow-up was conducted to record readmissions associated with high output stoma. A multivariate logistic regression was performed. Statistical significance level was established at p < 0.05. 170 patients were recruited, 85 patients in each cohort. Demographic data and clinical characteristics were recorded. A significant difference was observed in HOS-related readmissions, with readmission rates of 28.6% vs 10.3% in the retrospective and prospective cohort, respectively. At the first follow-up consultation, 50.5% of patients presented some degree of protein-calorie malnutrition. A statistically significant improvement in nutritional status was observed in the second evaluation. The intervention carried out resulted in a total saving of €24,175. Early follow-up of patients after discharge resulted in a significant reduction in the rate of HOS-related readmissions and allowed to identify a high percentage of patients with malnutrition. The cost analysis showed the process to be a cost-effective improvement.
format	article
author	Manuela Moreno Santamaría José Javier Arenas Villafranca Jimena Abilés Francisco Rivas Ruiz Pilar Utrilla Navarro Begoña Tortajada Goitia
author_facet	Manuela Moreno Santamaría José Javier Arenas Villafranca Jimena Abilés Francisco Rivas Ruiz Pilar Utrilla Navarro Begoña Tortajada Goitia
author_sort	Manuela Moreno Santamaría
title	Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study
title_short	Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study
title_full	Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study
title_fullStr	Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study
title_full_unstemmed	Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study
title_sort	impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/a9e78019cff142e591b130339bbf7cd9
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Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study

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