What question did this study set out to answer?

Determine the clinical and economic impact of an outpatient education and telephone management protocol designed to decrease dehydration-related readmissions following ileostomy creation.

January 1, 2017JSLS Journal of the Society of Laparoscopic & Robotic SurgeonsOpen Access

Cost Effectiveness of a Novel Attempt to Reduce Readmission after Ileostomy Creation

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Authors

AIAtif IqbalBaylor College of Medicine ARAhsan RazaUniversity of Lahore EHEmina H. HuangCleveland Clinic

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Implication

Cohort study reveals outpatient telephone monitoring reduces dehydration readmissions and costs in post-ileostomy patients, highlighting the economic value of structured post-discharge care.

Key Points

Determine the clinical and economic impact of an outpatient education and telephone management protocol designed to decrease dehydration-related readmissions following ileostomy creation.
Enrolled all new ileostomy patients from September 2011 through October 2012 at the University of Florida in a standardized education pathway with daily telephone check-ins for 3 weeks post-discharge.
Provided post-discharge counseling and medication adjustments, and compared patient outcomes against a historical control cohort.
Performed a hospital cost analysis to evaluate total financial savings from reduced dehydration readmissions.
Dehydration-specific hospital readmissions significantly decreased following implementation of the intervention (p = .002).
Mean hospital length of stay for readmitted patients dropped from 4.2 days before the intervention to 3.0 days after.
Actual total hospital readmission costs for dehydration decreased from $88,858 to $25,037, producing an overall cost savings of $63,821.

Cite This Study

Iqbal et al. (2017) studied this question.

synapsesocial.com/papers/6a8083d7377c56ad3031f3bb https://doi.org/10.4293/jsls.2016.00082

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Implication

Cohort study reveals outpatient telephone monitoring reduces dehydration readmissions and costs in post-ileostomy patients, highlighting the economic value of structured post-discharge care.

Cost Effectiveness of a Novel Attempt to Reduce Readmission after Ileostomy Creation

Discussion

Member takes

Implication

Key Points

Cite This Study

Cost Effectiveness of a Novel Attempt to Reduce Readmission after Ileostomy Creation

Discussion

Member takes

Implication

Key Points

Cite This Study

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