title: Stoma creation: does onset of ostomy care education delay hospital length of stay?
abstract: BACKGROUND
  Balancing patient safety with hospital length of stay (LOS) and associated cost is critically important. Subjectively, we have observed that patients undergoing ostomy creation early in the week have a shorter LOS.
  
  
  METHODS
  We retrospectively reviewed LOS based on day of the week the operation was performed.
  
  
  RESULTS
  We reviewed 180 patients undergoing minimally invasive surgery with planned ostomy. Group 1 underwent surgery on Monday to Wednesday (n = 77), Group 2 on Thursday (n = 49), and Group 3 on Friday (n = 54). The average LOS for Group 1, 2, and 3 was 6.2, 4.9, and 7.2 days, respectively. The average number of visits with ostomy nursing for Group 1, 2, and 3 was 2.7, 1.8, and 2.3, respectively. Day of initial ostomy nursing visit was significantly correlated between the delay to initial visit and LOS with Group 3 delayed most.
  
  
  CONCLUSIONS
  Patients with the longest delay to initial nurse visit had the longest LOS, with Friday operations being most delayed. A contributing factor may be absence of ostomy teaching over the weekend.
authors.affiliation: Department of Colon and Rectal Surgery, Swedish Colon and Rectal Clinic, 1101 Madison Street, Suite 510, Seattle, WA, 98104, USA.
authors.forename: Laila
authors.initials: L
authors.lastname: Rashidi
authors.affiliation: Department of Colon and Rectal Surgery, Swedish Colon and Rectal Clinic, 1101 Madison Street, Suite 510, Seattle, WA, 98104, USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: Long
authors.affiliation: Department of Colon and Rectal Surgery, Swedish Colon and Rectal Clinic, 1101 Madison Street, Suite 510, Seattle, WA, 98104, USA. Electronic address: melinda.egan@gmail.com.
authors.forename: Melinda
authors.initials: M
authors.lastname: Hawkins
authors.affiliation: Department of Colon and Rectal Surgery, Swedish Colon and Rectal Clinic, 1101 Madison Street, Suite 510, Seattle, WA, 98104, USA.
authors.forename: Raman
authors.initials: R
authors.lastname: Menon
authors.affiliation: Department of General Surgery, Swedish General Surgery Residency, Seattle, WA, USA.
authors.forename: Oliver
authors.initials: O
authors.lastname: Bellevue
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000379:methods; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000601:surgery; D003125:Colostomy / Q000379:methods / Q000451:nursing; D003362:Cost-Benefit Analysis; D016208:Databases, Factual; D005260:Female; D017721:Hospital Costs; D006801:Humans; D007081:Ileostomy / Q000379:methods / Q000451:nursing; D007902:Length of Stay / Q000191:economics / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000191:economics / Q000379:methods*; D011182:Postoperative Care / Q000451:nursing; D012189:Retrospective Studies; D018570:Risk Assessment; D054047:Surgical Stomas; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Colostomy; Ileostomy; Length of stay; Ostomy; Ostomy teaching