Exploring the Impact of a Structured Educational Approach on Peristomal Skin Complications: An Interim Analysis

This study, employing an interim analysis, investigates the effects of the Dermamecum protocol, a structured educational and tailored approach that stratifies ostomy patients into risk paths (green, yellow, red) based on pre-operative and post-operative characteristics. The green path indicates a low risk of peristomal skin complications (PSCs), focusing on sustaining healthy behaviours and basic stoma care. The yellow path represents a moderate risk, emphasizing the need for patients to self-monitor and recognize early signs of complications. The red path corresponds to high risk, requiring stringent monitoring and immediate access to healthcare support. The study aims to reduce PSCs and improve patient outcomes. Methods include the stratification of 226 patients, with significant differences in gender distribution, BMI categories, and stoma types across the paths. Results show an occurrence rate of PSCs of 5.9% in all risk paths (5.7% green path, 4.7% yellow path, and 7.9% red path, <i>p</i> = 0.685), significantly lower than the median rate of 35% reported in the literature. Multiple correspondence analysis validated the stratification, with distinct clusters for each path. Poisson regression models in the exploratory framework of an interim analysis identified male gender as the only significant predictor of PSCs, indicating the need for gender-specific interventions. The findings suggest that the Dermamecum protocol effectively reduces early PSCs, providing a foundation for further research.

Authors

Institutions

Publication Details

Journal
Healthcare
Published
2024-09-10
DOI
https://doi.org/10.3390/healthcare12181805
Citations
2
Primary Topic
Stoma care and complications
Type
article
Field-Weighted Citation Impact
1.15
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Exploring the Impact of a Structured Educational Approach on Peristomal Skin Complications: An Interim Analysis

Filippo Barone, Alessandra Marchetti, Rita Guarino, Francesco Carlo Denti et al.
2 citations
Healthcare
Stoma care and complications
1.15
article

Exploring the Impact of a Structured Educational Approach on Peristomal Skin Complications: An Interim Analysis

Filippo Barone, Alessandra Marchetti, Rita Guarino, Francesco Carlo Denti, F Croci, Francesca Caroppo, Anna Belloni Fortina, Rita Detti, Rosario Caruso, Simona Ditta, Giovanni Sarritzu, Francesco Pizzarelli, Cristina Di Pasquale, Paula Carp, Manuela Cecconello, Annalinda Cerchier, Maria Rosaria D’Ippolito, Erica Ducci, Stefano Frascarelli, Nicola Leggio, Elisabetta Livio, Francesca Marelli, Rita Mastropaolo, Viviana Melis, Nicola Palmiero, Arianna Panarelli, Anna Lea Pascali, Laura Precisi, Cinzia Rastello, Silvia Regaglia, Nadia Rumbolo, Claudio Sansone, Pietro Abruzzese, Stefano Sfondrini, Sara Stanzani, Margherita Walterova, Pasqualina Bernardino, F Alessi, Massimiliano Bergamini, G Bosio, Eliana Guerra, Angela Santelli, Mattia Stella, Marianna Galante, Rossana Elvira Rinaldi, Cristina Bernardo
article en
2 citations

Abstract

This study, employing an interim analysis, investigates the effects of the Dermamecum protocol, a structured educational and tailored approach that stratifies ostomy patients into risk paths (green, yellow, red) based on pre-operative and post-operative characteristics. The green path indicates a low risk of peristomal skin complications (PSCs), focusing on sustaining healthy behaviours and basic stoma care. The yellow path represents a moderate risk, emphasizing the need for patients to self-monitor and recognize early signs of complications. The red path corresponds to high risk, requiring stringent monitoring and immediate access to healthcare support. The study aims to reduce PSCs and improve patient outcomes. Methods include the stratification of 226 patients, with significant differences in gender distribution, BMI categories, and stoma types across the paths. Results show an occurrence rate of PSCs of 5.9% in all risk paths (5.7% green path, 4.7% yellow path, and 7.9% red path, <i>p</i> = 0.685), significantly lower than the median rate of 35% reported in the literature. Multiple correspondence analysis validated the stratification, with distinct clusters for each path. Poisson regression models in the exploratory framework of an interim analysis identified male gender as the only significant predictor of PSCs, indicating the need for gender-specific interventions. The findings suggest that the Dermamecum protocol effectively reduces early PSCs, providing a foundation for further research.

HealthcareVol. 12(18)
University of Padua (IT), Vita-Salute San Raffaele University (IT), University of Milan (IT), Azienda Ospedaliera San Giovanni Addolorata (IT), Policlinico Umberto I (IT), Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT), Ospedale Antonio Cardarelli (IT), Luigi Sacco Hospital (IT), Ospedale Santa Chiara (IT), Ospedale di Bolzano (IT), Ospedale di Rivoli (IT), Ospedale Vincenzo Cervello (IT), IRCCS Policlinico San Donato (IT), Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT), Ospedale di San Donà di Piave (IT), Ospedale Papa Giovanni XXIII (IT), Azienda Ospedaliera San Gerardo (IT), Ospedale Santa Maria (IT), Presidio Ospedaliero (IT), Azienda Socio Sanitaria Territoriale Lariana (IT), Azienda Ospedaliera Universitaria Senese (IT), Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale" (IT), Ospedale Pesenti Fenaroli (IT), Ospedale Pediatrico Giovanni XXIII (IT), Ospedale Generale Regionale Francesco Miulli (IT), Policlinico Casilino (IT), Azienda Ospedale - Università Padova (IT), Ospedale Sant'Anna (IT), Ospedale SS. Annunziata (IT), Ospedale Bellaria (IT), Istituti di Ricovero e Cura a Carattere Scientifico (IT), Gastroenterology Hospital "Saverio de Bellis" (IT), Ospedale San Luigi Gonzaga (IT), Fondazione IRCCS Istituto Nazionale dei Tumori (IT), Azienda Ospedaliera Ospedale Civile di Legnano (IT), Ospedale Civile di Giaveno (IT), Azienda Ospedaliera Universitaria Pisana (IT), Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele (IT), Aziende Socio Sanitarie Territoriale Ovest Milanese, European Institute of Oncology (IT)
Openalex Percentile: Top 21%
Stoma care and complications
1.15
DOIOpen Access PDFOpenAlex
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.