Impact of a nutrition consultation on the rate of high output stoma‑related readmission: an ambispective cohort study Moreno Santa María, Manuela Utrilla Navarro, Pilar 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. 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. 2021-10-13T07:16:50Z 2021-10-13T07:16:50Z 2021-08-17 info:eu-repo/semantics/article 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] http://hdl.handle.net/10481/70813 10.1038/s41598-021-96136-7 eng http://creativecommons.org/licenses/by/3.0/es/ info:eu-repo/semantics/openAccess Atribución 3.0 España Nature