دورية أكاديمية

Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective

التفاصيل البيبلوغرافية
العنوان: Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective
المؤلفون: Floriana D’Ambrosio, Ciro Pappalardo, Anna Scardigno, Ada Maida, Roberto Ricciardi, Giovanna Elisa Calabrò
المصدر: International Journal of Environmental Research and Public Health; Volume 20; Issue 1; Pages: 79
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2022
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: peristomal skin complications, PSCs, ileostomy, colostomy, ostomy surgery, burden of disease, public health
جغرافية الموضوع: agris
الوصف: Background: Peristomal skin complications (PSCs) are the most common skin problems seen after ostomy surgery. They have a considerable impact on a patient’s quality of life and contribute to a higher cost of care. Methods. A systematic review was conducted, querying three databases. The analysis was performed on international studies focused on the clinical-epidemiological burden of PSCs in adult patients with ileostomy/colostomy. Results: Overall, 23 studies were considered. The main diseases associated with ostomy surgery were rectal, colon and gynecological cancers, inflammatory bowel diseases, diverticulitis, bowel obstruction and intestinal perforation. Erythema, papules, skin erosions, ulcers and vesicles were the most common PSCs for patients with an ostomy (or stoma). A PSCs incidence ranging from 36.3% to 73.4% was described. Skin complications increased length of stay (LOS) and rates of readmission within 120 days of surgery. Conclusions: PSCs data are still limited. A knowledge of their burden is essential to support health personnel and decision-makers in identifying the most appropriate responses to patients’ needs. Proper management of these complications plays a fundamental role in improving the patient’s quality of life. A multidisciplinary approach, as well as increased patient education and their empowerment, are priority measures to be implemented to foster a value-based healthcare.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
العلاقة: Skin Health; https://dx.doi.org/10.3390/ijerph20010079Test
DOI: 10.3390/ijerph20010079
الإتاحة: https://doi.org/10.3390/ijerph20010079Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.CEAE4FB3
قاعدة البيانات: BASE