Complications and mortality following stoma formation.
BACKGROUND
As stoma formation is thought to be declining, we performed a study to evaluate the rate of stoma formation and the impact on stoma complication rates, together with risk factors for complications.


METHODS
Stoma incidence, individual complications and mortality rates were retrieved from a stoma nurse database of 345 stomas created over an 8-year period.


RESULTS
Stoma formation increased over the study period, although the incidence of complications declined. Stoma complications were more frequently seen in emergency surgery. A significant association between stoma complications and mortality was identified.


CONCLUSIONS
Age of patient, urgency of surgery and diagnosis were associated with high levels of morbidity and mortality. Stomas are often formed in frail patients unsuitable for anastomosis formation, which may explain the high mortality in ostomy patients.
Harris
D A
DA
Department of Surgery, Royal Glamorgan Hospital, Ynysmaerdy, Llantrisant, Mid-Glamorgan, UK.
Egbeare
D
D
Jones
S
S
Benjamin
H
H
Woodward
A
A
Foster
M E
ME
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy / Q000009:adverse effects* / Q000401:mortality; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D054047:Surgical Stomas / Q000009:adverse effects* / Q000706:statistics & numerical data