Complications in colostomy patients: analysis and assessment of risk factors
Background The increasing prevalence of people living with a colostomy (and a stoma in general) has made understanding, assessing and managing stomal complications an increasingly important objective. Aims The aim of this study was to analyse the onset of stomal complications in relation to comorbidities to evaluate any predisposing pathologies. Methods This retrospective analysis was conducted on the patient records of colostomates admitted to a hospital in Milan, Italy, from 2015 to 2018. Findings The analysis showed that 54% of patients presented with more than one complication. The most common were peristomal skin lesions (42%) and oedema (25%). The disease that showed the highest correlation with stomal complications was heart disease (23%). Conclusions Despite a limited sample size of 101 patients, this study demonstrated a correlation between stomal complications and heart disease. Nurses should pay particular attention to ostomates with cardiovascular issues.