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Impact of a nutrition consultation on the rate of high output stoma‑related readmission: an ambispective cohort study
dc.contributor.author | Moreno Santa María, Manuela | |
dc.contributor.author | Utrilla Navarro, Pilar | |
dc.date.accessioned | 2021-10-13T07:16:50Z | |
dc.date.available | 2021-10-13T07:16:50Z | |
dc.date.issued | 2021-08-17 | |
dc.identifier.citation | Santamaría, M.M... [et al.]. Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study. Sci Rep 11, 16620 (2021). [https://doi.org/10.1038/s41598-021-96136-7] | es_ES |
dc.identifier.uri | http://hdl.handle.net/10481/70813 | |
dc.description | We thank the staff of the Pharmacy and Nutrition Department at the Costa del Sol Hospital. The present study is part of a Pharmacy PhD research programme being conducted at the University of Granada. | es_ES |
dc.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. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Nature | es_ES |
dc.rights | Atribución 3.0 España | * |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.title | Impact of a nutrition consultation on the rate of high output stoma‑related readmission: an ambispective cohort study | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es_ES |
dc.identifier.doi | 10.1038/s41598-021-96136-7 | |
dc.type.hasVersion | info:eu-repo/semantics/publishedVersion | es_ES |