High risk populations for unplanned healthcare utilization following ostomy construction.
Am J Surg
; : 115799, 2024 Jun 13.
Article
de 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.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Langue:
En
Journal:
Am J Surg
Année:
2024
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique
Pays de publication:
États-Unis d'Amérique