High risk populations for unplanned healthcare utilization following ostomy construction.
Am J Surg
; : 115799, 2024 Jun 13.
Article
em En
| MEDLINE
| ID: mdl-38890038
ABSTRACT
BACKGROUND:
Patients with a new ostomy have high rates of unplanned healthcare utilization (UPHU). We used machine learning to assess which factors contributed the most to UPHU after ostomy construction.METHODS:
We retrospectively studied new ostomy patients between 2018 and 2021 âat a single institution. The primary outcome was UPHU within 60 days of discharge. Factors that contributed the most to UPHU were assessed using a classification tree machine learning method.RESULTS:
Among 318 patients, 30.8 â% of patients had an UPHU event. The classification tree identified diabetes mellitus as the most important factor associated with UPHU 56 â% of diabetics had UPHU. Smoking history was the next most important factor 77 â% of diabetics who smoked had UPHU. Patients who had diabetes, smoked, and had chronic kidney disease had the highest UPHU rate at 86 â%.DISCUSSION:
Unplanned healthcare utilization after ostomy construction is highest among patients with diabetes, smoking history, and chronic kidney disease.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos