Readmission for Dehydration or Renal Failure After Ileostomy Creation
- 1 August 2013
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Diseases of the Colon & Rectum
- Vol. 56 (8), 974-979
- https://doi.org/10.1097/dcr.0b013e31828d02ba
Abstract
Ileostomy creation is a commonly performed operation in colorectal surgery; however, many patients develop complications such as dehydration postoperatively. Dehydration is often severe enough to warrant hospital readmission and may result in renal failure. The true incidence of this complication has not been well described. The aim of this study was to identify the rate of hospital readmission secondary to dehydration or renal failure within 30 days of ileostomy creation. Retrospective review of all patients undergoing ileostomy creation from 2007 to 2011 in a single colorectal practice of 4 surgeons was performed. Charts were reviewed to identify patients readmitted for dehydration or renal failure within 30 days of operation. Data were then analyzed to identify predictors of readmission, dehydration, and renal failure. Subset analysis compared patients readmitted with simple dehydration versus patients with renal failure. Two hundred one patients undergoing colorectal operations that included ileostomy creation within a 4-year period at a single institution for a variety of indications were included. The primary outcome measured was readmission for dehydration or renal failure. We observed a 17% 30-day readmission rate for dehydration or renal failure following ileostomy creation. Age greater than 50 was identified as an independent predictor of readmission with renal failure, whereas IPAA was predictive of readmission for simple dehydration, but not renal failure. Patients admitted with renal failure had significantly longer hospital stays and median hospital charges after readmission in comparison with patients admitted with simple dehydration. This study was limited by its retrospective nature and its limited sample size. Hospital readmission due to dehydration or renal failure following ileostomy creation is common, with age >50 being the strongest predictor for renal failure. Appropriate strategies to decrease dehydration and renal failure following ileostomy creation need to be investigated.Keywords
This publication has 21 references indexed in Scilit:
- Dehydration Is the Most Common Indication for Readmission After Diverting Ileostomy CreationDiseases of the Colon & Rectum, 2012
- Meta-analysis of defunctioning stomas in low anterior resection for rectal cancerBritish Journal of Surgery, 2009
- Loop ileostomy versus loop colostomy for fecal diversion after colorectal or coloanal anastomosis: a meta-analysisInternational Journal of Colorectal Disease, 2009
- Systematic Review and Meta-Analysis of the Role of Defunctioning Stoma in Low Rectal Cancer SurgeryAnnals of Surgery, 2008
- Defunctioning Stoma Reduces Symptomatic Anastomotic Leakage After Low Anterior Resection of the Rectum for CancerAnnals of Surgery, 2007
- The value of diverting loop ileostomy on the high-risk colon and rectal anastomosisThe American Journal of Surgery, 2007
- Morbidity of Temporary Loop Ileostomy in Patients With Colorectal CancerDiseases of the Colon & Rectum, 2006
- Loop ileostomy is a safe option for fecal diversionDiseases of the Colon & Rectum, 1993
- Temporary ileostomy for ileal pouch-anal anastomosisDiseases of the Colon & Rectum, 1986
- THE MANAGEMENT OF AN ILEOSTOMYThe Lancet, 1952