Peristomal Skin Complications: Detailed Analysis of a Web-Based Survey and Predictive Risk Factors
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Context, Ethics, and Procedure
2.3. Measurements
2.4. Statistical Analysis
3. Results
3.1. Patient Characteristics
3.2. Logistic Models
3.2.1. Dermatitis
3.2.2. Pruritis/Xerosis
3.2.3. Infections
3.2.4. Ulcerations
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Main Characteristics | N | % |
---|---|---|
Age | ||
Median (years) | 65–70 years | - |
Time after intervention (months) [mean, standard deviation, SD] | 9.17 | 3.79 |
Sex | ||
Female | 112 | 48.3 |
Male | 120 | 51.7 |
BMI | ||
Severely underweight | 5 | 2.2 |
Moderately underweight | 35 | 15.1 |
Normal | 116 | 50.0 |
Overweight | 49 | 21.1 |
Class 1 obesity | 18 | 7.8 |
Class 2 obesity | 9 | 3.9 |
Nutrition | ||
Low residue diet | 38 | 16.4 |
Diet for ileostomy | 84 | 36.2 |
Not applicable | 110 | 47.4 |
Comorbidities | ||
IBD | 21 | 9.1 |
Cardiovascular pathology | 91 | 39.2 |
Hematological pathology | 12 | 5.2 |
Diabetes | 29 | 12.5 |
Psoriasis | 7 | 3.0 |
Atopic dermatitis | 9 | 3.9 |
Allergic/irritant dermatitis | 22 | 9.5 |
Therapy at baseline | ||
Chemotherapy | 100 | 43.1 |
Radiotherapy | 46 | 19.8 |
Other | 46 | 19.8 |
Complications | ||
Dermatitis | 145 | 62.5 |
Pruritis/xerosis | 140 | 60.3 |
Infection | 25 | 10.8 |
Ulceration | 82 | 35.3 |
Type of stoma | ||
Colostomy | 95 | 41.3 |
Ileostomy | 103 | 44.8 |
Urostomy | 32 | 13.9 |
95% CI | ||||
---|---|---|---|---|
Variable | OR | LB | UB | p Value |
BMI = Normal | 0.488 | 0.229 | 1.042 | 0.064 |
Caregiver = Completely dependent | 2.193 | 0.961 | 5.003 | 0.062 |
Psoriasis | 33.324 | 2.175 | 510.555 | 0.012 |
Physical activity = Never or almost never | 2.088 | 0.955 | 4.568 | 0.065 |
Diet = Low residue diet | 0.222 | 0.084 | 0.587 | 0.002 |
Chemotherapy | 2.237 | 1.084 | 4.613 | 0.029 |
Remover (accessory) | 0.528 | 0.258 | 1.081 | 0.081 |
Powder (accessory) | 2.170 | 0.924 | 5.096 | 0.075 |
Urostomy | 0.251 | 0.093 | 0.680 | 0.007 |
Abdominal stoma profile = Regular | 0.314 | 0.140 | 0.702 | 0.005 |
Type of device = One piece | 3.763 | 1.536 | 9.219 | 0.004 |
Hydrocolloid plaque | 0.108 | 0.041 | 0.282 | <0.001 |
Gauze for cleansing | 0.109 | 0.016 | 0.727 | 0.021 |
Low pH detergent | 0.013 | 0.002 | 0.091 | <0.001 |
95% CI | ||||
---|---|---|---|---|
Variable | OR | LB | UB | p Value |
Male sex | 2.954 | 1.584 | 5.507 | 0.001 |
BMI = Overweight or obese | 2.341 | 1.195 | 4.583 | 0.013 |
Sedentary lifestyle | 0.240 | 0.073 | 0.792 | 0.019 |
Ileostomy | 1.798 | 0.956 | 3.382 | 0.069 |
Deep convex plaque | 5.119 | 1.105 | 23.729 | 0.033 |
Hydrocolloid plaque + dressing in TNT | 2.050 | 1.060 | 3.963 | 0.033 |
Age > 75 years | 0.383 | 0.184 | 0.797 | 0.010 |
95% CI | ||||
---|---|---|---|---|
Variable | OR | LB | UB | p Value |
BMI = Class 2 obesity | 30.313 | 5.744 | 159.974 | 0.001 |
Atopic dermatitis | 6.423 | 0.948 | 43.533 | 0.057 |
Other medical therapies | 4.473 | 1.527 | 13.100 | 0.006 |
Hernia | 11.818 | 2.257 | 61.883 | 0.003 |
One-piece device | 0.174 | 0.036 | 0.840 | 0.029 |
Caregiver = Completely dependent | 2.989 | 1.046 | 8.538 | 0.041 |
Frequent physical activity | 2.126 | 1.084 | 4.170 | 0.028 |
95% CI | ||||
---|---|---|---|---|
Variable | OR | LB | UB | p Value |
BMI = Underweight | 3.907 | 1.419 | 10.758 | 0.008 |
Caregiver = Completely dependent | 3.376 | 1.645 | 6.928 | 0.001 |
IBD | 4.161 | 1.307 | 13.248 | 0.016 |
Allergic/irritant dermatitis | 2.345 | 0.842 | 6.531 | 0.077 |
Ileostomy | 1.860 | 0.906 | 3.819 | 0.091 |
Radiotherapy | 2.394 | 1.055 | 5.436 | 0.037 |
Regular abdominal stoma profile | 0.391 | 0.190 | 0.801 | 0.009 |
Protective film (accessory) | 0.421 | 0.207 | 0.854 | 0.018 |
Everted stoma | 0.199 | 0.058 | 0.684 | 0.011 |
Normal stoma | 0.252 | 0.098 | 0.649 | 0.009 |
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Guerra, E.; Denti, F.C.; Di Pasquale, C.; Caroppo, F.; Angileri, L.; Cioni, M.; Parodi, A.; Fortina, A.B.; Ferrucci, S.; Burlando, M. Peristomal Skin Complications: Detailed Analysis of a Web-Based Survey and Predictive Risk Factors. Healthcare 2023, 11, 1823. https://doi.org/10.3390/healthcare11131823
Guerra E, Denti FC, Di Pasquale C, Caroppo F, Angileri L, Cioni M, Parodi A, Fortina AB, Ferrucci S, Burlando M. Peristomal Skin Complications: Detailed Analysis of a Web-Based Survey and Predictive Risk Factors. Healthcare. 2023; 11(13):1823. https://doi.org/10.3390/healthcare11131823
Chicago/Turabian StyleGuerra, Eliana, Francesco Carlo Denti, Cristina Di Pasquale, Francesca Caroppo, Luisa Angileri, Margherita Cioni, Aurora Parodi, Anna Belloni Fortina, Silvia Ferrucci, and Martina Burlando. 2023. "Peristomal Skin Complications: Detailed Analysis of a Web-Based Survey and Predictive Risk Factors" Healthcare 11, no. 13: 1823. https://doi.org/10.3390/healthcare11131823