Exploring the Impact of a Structured Educational Approach on Peristomal Skin Complications: An Interim Analysis
Year: 2024
Type: article
Abstract: This study, employing an interim analysis, investigates the effects of the Dermamecum protocol, a structured educational and tailored approach that stratifies ostomy patients into risk paths (green, yellow, red) based on pre-operative and post-operative characteristics. The green path indicates a low risk of peristomal skin complications (PSCs), focusing on sustaining healthy behaviours and basic stoma care. The yellow path represents a moderate risk, emphasizing the need for patients to self-monitor and recognize early signs of complications. The red path corresponds to high risk, requiring stringent monitoring and immediate access to healthcare support. The study aims to reduce PSCs and improve patient outcomes. Methods include the stratification of 226 patients, with significant differences in gender distribution, BMI categories, and stoma types across the paths. Results show an occurrence rate of PSCs of 5.9% in all risk paths (5.7% green path, 4.7% yellow path, and 7.9% red path, p = 0.685), significantly lower than the median rate of 35% reported in the literature. Multiple correspondence analysis validated the stratification, with distinct clusters for each path. Poisson regression models in the exploratory framework of an interim analysis identified male gender as the only significant predictor of PSCs, indicating the need for gender-specific interventions. The findings suggest that the Dermamecum protocol effectively reduces early PSCs, providing a foundation for further research.
Source: Healthcare
Authors: Francesco Carlo Denti, Eliana Guerra, Francesca Caroppo, Pietro Abruzzese, Fabrizio Alessi, Filippo Barone, Pasqualina Bernardino, Massimiliano Bergamini, Cristina Bernardo, Gloria Bosio, Paula Carp, Manuela Cecconello, Annalinda Cerchier, Francesca Croci, Rita Detti, Cristina Di Pasquale, Maria Rosaria D’Ippolito, Simona Ditta, Erica Ducci, Anna Belloni Fortina, Stefano Frascarelli, Marianna Galante, Rita Guarino, Nicola Leggio, Elisabetta Livio, Alessandra Marchetti, Francesca Marelli, Rita Mastropaolo, Viviana Melis, Nicola Palmiero, Arianna Panarelli, Anna Lea Pascali, Francesco Pizzarelli, Laura Precisi, Cinzia Rastello, Silvia Regaglia, Rossana Elvira Rinaldi, Nadia Rumbolo, Claudio Sansone, Angela Santelli, Giovanni Sarritzu, Stefano Sfondrini, Sara Stanzani, Mattia Stella, Margherita Walterova, Rosario Caruso
Institutions: IRCCS Ospedale San Raffaele, Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia, University of Padua, Ospedale Bellaria, Azienda Ospedaliera Ospedale Civile di Legnano, Aziende Socio Sanitarie Territoriale Ovest Milanese, Ospedale Generale Regionale Francesco Miulli, Ospedale Vincenzo Cervello, Ospedale Santa Maria della Misericordia di Udine, Ospedale Civile Di Ivrea, Ospedale di Rivoli, Ospedale di San Donà di Piave, Azienda Ospedaliera Universitaria Senese, European Institute of Oncology, Ospedale Antonio Cardarelli, Luigi Sacco Hospital, Ospedale Santa Chiara, Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale", Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Policlinico Umberto I, Fondazione IRCCS Istituto Nazionale dei Tumori, Ospedale di Bolzano, Ospedale Papa Giovanni XXIII, Azienda Ospedale - Università Padova, Azienda Ospedaliera Universitaria Pisana, Ospedale San Luigi Gonzaga, Ospedale Pesenti Fenaroli, Azienda Ospedaliera San Giovanni Addolorata, Azienda Ospedaliera di Desio e Vimercate, Azienda Socio Sanitaria Territoriale Lariana, Ospedale Sant'Anna, Ospedale "Santa Maria delle Croci" di Ravenna, Gastroenterology Hospital "Saverio de Bellis", University of Milan, IRCCS Policlinico San Donato
Language: English
Topic: Stoma care and complications
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,069
OpenAlex ID: W4402416293