Reducing Readmissions in High-Risk Ostomates

Summary

Preventing complications and readmission after ostomy surgery will decrease the cost of healthcare, improve patient safety, reduce the cost of durable medical equipment required by ostomates, ensure continued specialized care is available, and potentially improve both short and long-term quality of life (QOL) for patients by reducing morbidity and mortality associated with ostomy surgery. The purpose of this study is to measure the effectiveness of patient centered interventions/care pathways and to determine the impact on healthcare utilization, 30-day hospital readmissions, and QOL.

Conditions

• Ileostomy

Interventions

OTHER

Pre-operative education (standard of care)

OTHER

Home health care visits (standard of care)

OTHER

Follow-up post-operative visits

OTHER

Patient Data Collection Form

-Form that contains date, area to record number of pouches, and if home health care visit took place.

OTHER

Healthcare Utilization Form

* Form for patient to record if they visited an emergency room or urgent care or if they were hospitalized * Form allows patient to record reason for visit and date of visit

OTHER

The City of Hope QOL Survey for Ostomy Patients

* Consists of 47 questions asking various physical, psychological, sexual, work-related, and demographic questions. * Additional 34 questions on how the ostomy affects quality of life. Answers range from 0=not at all to 10=severe problem.

OTHER

Phone call with CWOCN or PA

Sponsors & Collaborators

• Washington University School of Medicine

  lead OTHER

Principal Investigators

• Steven R Hunt, M.D. · Washington University School of Medicine

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2016-04-30

Primary Completion

2018-08-22

Completion

2018-08-22

Countries

• United States

Study Locations