Why the study?
High readmission rates among ileostomy patients are often due to dehydration that can be prevented with prompt intervention, prompting evaluation of whether close follow-up and orthostatic blood pressure monitoring lower 30-day readmissions.
Does orthostatic blood pressure monitoring reduce 30-day readmissions in high-output ileostomy patients?
Does orthostatic blood pressure monitoring reduce 30-day readmissions in high-output ileostomy patients?
Orthostatic blood pressure monitoring in high-output ileostomy patients may help reduce 30-day readmissions.
Orthostatic monitoring was associated with lower ileostomy readmissions; hypothesis-generating and needs prospective validation.
Background: High readmission rates among ileostomy patients are often the result of dehydration, but this can be prevented with prompt intervention. Aim: This study aimed to determine whether a combination of close follow up and obtaining orthostatic blood pressure would lower 30-day readmission rates in ileostomy patients. Method: Colorectal patients with newly formed ileostomies were enrolled in a surgical transitional care programme. Those with high-output ileostomies were offered education on taking their orthostatic blood pressure at home, and registered nurses completed follow up via telephone. Findings: From December 2017 to April 2019, 171 ileostomy patients were enrolled in a surgical transitional care programme. Of these, 27 patients were provided with orthostatic blood pressure instruction. Readmission rates for the orthostatic blood pressure group were 7.4%, compared with 15.3% in all other ileostomy patients enrolled in surgical transitional care. Conclusion: Orthostatic blood pressure monitoring in high-output ileostomy patients may help to reduce 30-day readmissions.
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Edwards et al. (2020) studied this question.
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