Outcomes following stoma formation in patients with spinal cord injury.

Cooper, EA; Bonne Lee, B; Muhlmann, M

Outcomes following stoma formation in patients with spinal cord injury.

Cooper, EA Bonne Lee, B Muhlmann, M

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Colorectal Dis, 2019, 21, (12), pp. 1415-1420
Issue Date:: 2019-12

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Field	Value	Language
dc.contributor.author	Cooper, EA
dc.contributor.author	Bonne Lee, B
dc.contributor.author	Muhlmann, M
dc.date.accessioned	2022-09-26T03:44:34Z
dc.date.available	2019-06-26
dc.date.available	2022-09-26T03:44:34Z
dc.date.issued	2019-12
dc.identifier.citation	Colorectal Dis, 2019, 21, (12), pp. 1415-1420
dc.identifier.issn	1462-8910
dc.identifier.issn	1463-1318
dc.identifier.uri	http://hdl.handle.net/10453/162067
dc.description.abstract	AIM: The formation of a diverting stoma of the bowel in patients with spinal cord injury (SCI) is a useful option in managing problems associated with prolonged bowel care, pressure ulcers and neurogenic bowel. This descriptive study examines surgical outcomes and the effect on an individual's health-related quality of life (HrQoL) in this complex group of patients. METHODS: Data were retrospectively collected in all patients with SCI who underwent a diverting stoma at Prince of Wales Hospital, Sydney, between January 2013 and January 2018 via a self-report questionnaire developed specifically for the study. RESULTS: Forty-three individuals were identified of whom 26 responded. 73% were men with a mean age of 45 years. The reasons for stoma formation included sacral pressure ulcer (50%), prolonged bowel care (35%), faecal incontinence (19%), constipation (8%), autonomic dysreflexia (8%), carer difficulties (8%) and haemorrhoids (4%). 76% of patients reported an improvement in HrQoL with 72% scoring their satisfaction with a stoma ≥ 8/10. CONCLUSION: While stoma formation is often seen as a treatment of last resort, our study has shown that it is an effective management option for a number of conditions post-SCI. It can improve HrQoL and has a high level of satisfaction amongst patients. Ideally, patients who could potentially benefit from a stoma should be identified early and receive appropriate education and counselling to help facilitate informed and timely decision-making and reduce adverse bowel related impact on quality of life and adjustment post-SCI.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Colorectal Dis
dc.relation.isbasedon	10.1111/codi.14753
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences
dc.subject.classification	Surgery
dc.subject.mesh	Adult
dc.subject.mesh	Enterostomy
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Intestines
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Outcome Assessment, Health Care
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Postoperative Complications
dc.subject.mesh	Quality of Life
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Spinal Cord Injuries
dc.subject.mesh	Surgical Stomas
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Intestines
dc.subject.mesh	Humans
dc.subject.mesh	Spinal Cord Injuries
dc.subject.mesh	Postoperative Complications
dc.subject.mesh	Enterostomy
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Quality of Life
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Surgical Stomas
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Outcome Assessment, Health Care
dc.title	Outcomes following stoma formation in patients with spinal cord injury.
dc.type	Journal Article
utslib.citation.volume	21
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
utslib.copyright.status	closed_access	*
dc.date.updated	2022-09-26T03:44:32Z
pubs.issue	12
pubs.publication-status	Published
pubs.volume	21
utslib.citation.issue	12

Abstract:

AIM: The formation of a diverting stoma of the bowel in patients with spinal cord injury (SCI) is a useful option in managing problems associated with prolonged bowel care, pressure ulcers and neurogenic bowel. This descriptive study examines surgical outcomes and the effect on an individual's health-related quality of life (HrQoL) in this complex group of patients. METHODS: Data were retrospectively collected in all patients with SCI who underwent a diverting stoma at Prince of Wales Hospital, Sydney, between January 2013 and January 2018 via a self-report questionnaire developed specifically for the study. RESULTS: Forty-three individuals were identified of whom 26 responded. 73% were men with a mean age of 45 years. The reasons for stoma formation included sacral pressure ulcer (50%), prolonged bowel care (35%), faecal incontinence (19%), constipation (8%), autonomic dysreflexia (8%), carer difficulties (8%) and haemorrhoids (4%). 76% of patients reported an improvement in HrQoL with 72% scoring their satisfaction with a stoma ≥ 8/10. CONCLUSION: While stoma formation is often seen as a treatment of last resort, our study has shown that it is an effective management option for a number of conditions post-SCI. It can improve HrQoL and has a high level of satisfaction amongst patients. Ideally, patients who could potentially benefit from a stoma should be identified early and receive appropriate education and counselling to help facilitate informed and timely decision-making and reduce adverse bowel related impact on quality of life and adjustment post-SCI.

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http://hdl.handle.net/10453/162067