Back to Search
Start Over
Early Colostomy Formation Can Improve Independence Following Spinal Cord Injury and Increase Acceptability of Bowel Management
- Source :
- Topics in Spinal Cord Injury Rehabilitation. 25:23-30
- Publication Year :
- 2019
- Publisher :
- American Spinal Injury Association, 2019.
-
Abstract
- Background: Colostomy formation can solve complications of bowel management following spinal cord injury (SCI). Newly injured patients at this spinal unit have chosen colostomy as a preferred option for bowel management. Objectives: To discover the reasons patients choose colostomy formation early following SCI and make comparison with those choosing it later, and to establish whether early colostomy is safe and advisable. Methods: Medical and nursing records of patients with SCI who chose to have a colostomy during the period 2005–2016 were examined retrospectively. Data were gathered concerning reasons for choosing a colostomy, early and later complications, the need for further surgery, and independence with bowel care before and after surgery. Patients were divided into two groups: those who chose a colostomy “early” during inpatient rehabilitation and those who chose it “later” as is traditional. Results: Reasons for choosing colostomy differed. Reducing reliance on caregiver and independence were of more importance to the early group; the later group chose colostomy to solve bowel care problems. Early complication rates in both groups were low. Longer term complications were higher in the early group, with the most common complication being rectal discharge. Parastomal hernia rates were low in both groups, as was the need for further surgery. Colostomy formation led to 20.8% of all patients gaining independence with bowel care. Conclusion: This study found colostomy to be a safe and effective option when performed early after SCI and demonstrates colostomy can be a means of gaining independence and making bowel care easier and more acceptable to the newly injured patient.
- Subjects :
- Adult
Male
030506 rehabilitation
medicine.medical_specialty
Time Factors
media_common.quotation_subject
medicine.medical_treatment
Bowel management
Physical Therapy, Sports Therapy and Rehabilitation
Choice Behavior
Article
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Colostomy
medicine
Humans
Neurogenic Bowel
Spinal cord injury
Spinal Cord Injuries
Aged
Retrospective Studies
media_common
business.industry
General surgery
Rehabilitation
Middle Aged
Patient Acceptance of Health Care
medicine.disease
Rectal discharge
Independence
Early complication
Quality of Life
Female
Bowel care
Neurology (clinical)
medicine.symptom
0305 other medical science
Complication
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 10820744
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- Topics in Spinal Cord Injury Rehabilitation
- Accession number :
- edsair.doi.dedup.....7dda2ef00ca2cc61569dc3220660a9af